Individual provider Active NPI

Alicia Ivana Peton, M.S., LCMHC

  • Mental Health Counselor
  • Fuquay Varina, NC
National Provider Identifier
1194041962
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10370 Issued in NC
Practice address
7621 Purfoy Rd Ste 210
Fuquay Varina, NC 27526-6985
Phone
(919) 523-2100
Fax
(919) 205-9919
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10370 NC Primary

Addresses

Primary practice location

7621 Purfoy Rd Ste 210
Fuquay Varina, NC 27526-6985

Mailing address

10 Racquet CT
Sanford, NC 27332-0128
Phone (919) 480-0101

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Partners NC Mental Health CurrentSince Oct 19, 2020 Accepting new patients

Locations

7621 Purfoy Rd
Ste 210
Fuquay Varina, NC 27526
Phone (919) 523-2100

7621 Purfoy Rd
Ste 105B
Fuquay Varina, NC 27526
Phone (833) 749-4584

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1194041962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RACQUET CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320128",
            "telephone_number": "919-480-0101",
            "fax_number": "919-205-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 PURFOY RD STE 210",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266985",
            "telephone_number": "919-523-2100",
            "fax_number": "919-205-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETON",
        "first_name": "ALICIA",
        "middle_name": "IVANA",
        "name_prefix": "Ms.",
        "credential": "M.S., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.