Active NPI
Janice Louise Peterson, RN, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1063558047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17543
- Practice address
- 525 N Sam Houston Pkwy E
Suite 525
Houston, TX 77060-4037 - Phone
- (281) 999-8400
- Fax
- (281) 999-8402
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17543 | TX | Primary |
Addresses
Primary practice location
525 N Sam Houston Pkwy E
Suite 525
Houston, TX 77060-4037
Mailing address
525 N Sam Houston Pkwy E
Suite 525
Houston, TX 77060-4037
Phone (281) 999-8400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10016277 | Other | TX | AMERIGROUP ID |
| 478064 | Other | TX | VALUE OPTIONS PROVIDER ID |
| 148937901 | Medicaid | TX | |
| 6098LC | Other | TX | BCBS ID |
| 0007793396 | Other | TX | AETNA ID |
| 347889000 | Other | TX | MAGELLAN HLTH ID |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17543 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063558047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N SAM HOUSTON PKWY E",
"address_2": "SUITE 525",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604037",
"telephone_number": "281-999-8400",
"fax_number": "281-999-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N SAM HOUSTON PKWY E",
"address_2": "SUITE 525",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604037",
"telephone_number": "281-999-8400",
"fax_number": "281-999-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JANICE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RN, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP ID",
"identifier": "10016277",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER ID",
"identifier": "478064",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148937901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "6098LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "0007793396",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HLTH ID",
"identifier": "347889000",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.