Terresha Y Peten

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2444 W Bloch Rd
Phoenix, AZ 85041-2930

Phone

(779) 248-1040

NPI assigned

Jan 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• All Minds Crave Success LLC

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1255916862
  NPD
• All Minds Crave Success LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1871184077
  NPD

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1053902254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 W LYNNE LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394240",
            "telephone_number": "779-248-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 W BLOCH RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412930",
            "telephone_number": "779-248-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 W Lynne Ln",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853394240",
            "country_code": "US",
            "telephone_number": "779-248-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETEN",
        "first_name": "TERRESHA",
        "middle_name": "Y",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marivel Pesqueira, M.A.ED.
• Joshua P Pessin, M.D.
• Michelle L Pestlin
• Whittney S Petchel, PNP
• Jheremy Pete
• Peter a Bassett, DMD PC
• Peter Arvanitis DDS PC
• Peter J Campbell MD PC
• Peter J Reed DO PC
• Peter Lux, MD, PLLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.