Daniel Peeks, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004820 Issued in GA

Practice address

127 Church St NE Ste 350
Marietta, GA 30060-8642

Phone

(770) 425-8275

Fax

(770) 426-8276

NPI assigned

Jan 4, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tapestry Psychological Associates

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1750831541
  NPD (past)
• Tapestry Psychological Associates, Inc

  • Psychologist
  • Marietta, GA
  • NPI 1265659163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1013373315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CHURCH ST NE STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608642",
            "telephone_number": "770-425-8275",
            "fax_number": "770-426-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH ST NE STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608642",
            "telephone_number": "770-425-8275",
            "fax_number": "770-426-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEKS",
        "first_name": "DANIEL",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "004820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Smile Studio
• Pediatrics and Adolescent Medicine, PA
• Pediatrics at Whitlock P.C.
• Pediatrix Medical Group of Georgia, P.C.
• Tatiana Peduri
• Kimberly Peery
• Kishwar Peiris, LPC
• Jenna Lee Peixoto, PT, DPT
• Soni Pelino, DPT
• Taylor Smith Pell, PT, DPT

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.