Active NPI
Clay E Peters II, ED.D., L.P.C., N.C.C
- Professional Counselor
- Bedford, VA
National Provider Identifier
1033135827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003318
- Practice address
- 1125 Stratford Dr
Bedford, VA 24523-3017 - Phone
- (540) 314-1640
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003318 | VA | Primary |
Addresses
Primary practice location
1125 Stratford Dr
Bedford, VA 24523-3017
Mailing address
1125 Stratford Dr
Bedford, VA 24523-3017
Phone (540) 314-1640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701003318 | Other | VA | STATE LPC LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003318 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033135827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 STRATFORD DR",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245233017",
"telephone_number": "540-314-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 STRATFORD DR",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245233017",
"telephone_number": "540-314-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CLAY",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "ED.D., L.P.C., N.C.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LPC LICENSE",
"identifier": "0701003318",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, VA
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.