Peter Peterson, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3555 Issued in TX

Practice address

1801 S Alameda St
Suite 150
Corpus Christi, TX 78404-2932

Phone

(361) 854-9199

Fax

(361) 854-9147

NPI assigned

Jan 24, 2011

Sex

Male

Sole proprietor

Yes

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

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.

• Council on Alcohol and Drug Abuse - Coastal Bend

  • Addiction (Substance Use Disorder) Counselor
  • Corpus Christi, TX
  • NPI 1699023994
  NPD (past)
• The Council on Alcohol & Drug Abuse Coastal Bend

  • Community/Behavioral Health Agency
  • Corpus Christi, TX
  • NPI 1144391152
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1043515919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S ALAMEDA ST",
            "address_2": "SUITE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042932",
            "telephone_number": "361-854-9199",
            "fax_number": "361-854-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S ALAMEDA ST",
            "address_2": "SUITE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042932",
            "telephone_number": "361-854-9199",
            "fax_number": "361-854-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PETER",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Pesina-Garcia, NP
• Thalia Pesina
• Chad Peters, DC
• Lindsey Anne Peters
• Mary Dahlen Peterson, M.D.
• Christopher V Petrikas, DO
• Kimberly A Petrila, P.A.
• John R Pettigrove, M.D.
• Cindy Sue Petty, DNP
• Mark David Peugeot, PHD

• Addiction (Substance Use Disorder) Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.