Active NPI
Claudette Peck, LCMHC, RD
- Mental Health Counselor
- Hanover, NH
National Provider Identifier
1083072672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 626
- Practice address
- 45 Lyme Rd
Suite 204
Hanover, NH 03755-1219 - Phone
- (603) 359-8424
- NPI assigned
- Feb 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 626 | NH | Primary |
| Registered Dietitian | 133V00000X | 219 | NH |
Addresses
Primary practice location
45 Lyme Rd
Suite 204
Hanover, NH 03755-1219
Mailing address
45 Lyme Rd
Suite 204
Hanover, NH 03755-1219
Phone (603) 359-8424
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 |
|---|---|---|---|
| 626 | NH | MD | Mental Health Counselor |
| 219 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1083072672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LYME RD",
"address_2": "SUITE 204",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551219",
"telephone_number": "603-359-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LYME RD",
"address_2": "SUITE 204",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551219",
"telephone_number": "603-359-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "CLAUDETTE",
"credential": "LCMHC, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "626",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.