Active NPI
Lindsey L. Peterson
- Counselor
- Canandaigua, NY
National Provider Identifier
1104067586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3019 County Complex Dr
Canandaigua, NY 14424-9505 - Phone
- (585) 396-4190
- Fax
- (585) 383-2916
- NPI assigned
- Mar 16, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3019 County Complex Dr
Canandaigua, NY 14424-9505
Mailing address
190 Parrish St
Apartment 42-4a
Canandaigua, NY 14424-1724
Phone (585) 610-0419
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1104067586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 PARRISH ST",
"address_2": "APARTMENT 42-4A",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241724",
"telephone_number": "585-610-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 COUNTY COMPLEX DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144249505",
"telephone_number": "585-396-4190",
"fax_number": "585-383-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LINDSEY",
"middle_name": "L.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.