Active NPI
Renee Pepper
- Mental Health Counselor
- Mount Kisco, NY
National Provider Identifier
1013003920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R046814-1
- Practice address
- 8 Stockbridge Road
Mount Kisco, NY 10549-4521 - Phone
- (914) 241-4240
- Fax
- (914) 241-4239
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R046814-1 | NY | Primary |
Addresses
Primary practice location
8 Stockbridge Road
Mount Kisco, NY 10549-4521
Mailing address
8 Stockbridge Rd
Mount Kisco, NY 10549-4521
Phone (914) 241-4240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1467668 | Other | NY | OXFORD |
| 02690811 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R046814-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013003920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 STOCKBRIDGE RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105494521",
"telephone_number": "914-241-4240",
"fax_number": "914-241-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 STOCKBRIDGE ROAD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105494521",
"telephone_number": "914-241-4240",
"fax_number": "914-241-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R046814-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1467668",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02690811",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.