Active NPI
Rita Renee Peters
- Addiction (Substance Use Disorder) Counselor
- New York, NY
National Provider Identifier
1124424429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 28884
- Practice address
- 311 W 35TH St
New York, NY 10001-1701 - Phone
- (212) 736-5900
- Fax
- (212) 643-1441
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 28884 | NY | Primary |
Addresses
Primary practice location
311 W 35TH St
New York, NY 10001-1701
Mailing address
311 W 35TH St
New York, NY 10001-1701
Phone (212) 736-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609805993 | Medicaid | NY |
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 |
|---|---|---|---|
| 28884 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1124424429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W 35TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011701",
"telephone_number": "212-736-5900",
"fax_number": "212-643-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W 35TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011701",
"telephone_number": "212-736-5900",
"fax_number": "212-643-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "RITA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "28884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609805993",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.