Katherine Peck Louise Peck, RN, CNS, PNP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R48558 Issued in NM

Practice address

1850 Copper Loop
Las Cruces, NM 88005-8139

Phone

(505) 647-7642

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205037157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 SOLEDAD CANYON RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118331",
            "telephone_number": "505-521-3911",
            "fax_number": "505-646-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COPPER LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880058139",
            "telephone_number": "505-647-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "KATHERINE PECK",
        "middle_name": "LOUISE",
        "credential": "RN, CNS, PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "R48558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Medical Las Cruces No. 2, LLC (Casa De Oro Center)
• Peak Medical Las Cruces, LLC (Casa Del Sol Center)
• Emily Ruth Pearlstein, LMHC
• Andrew Stephen Pearson, MD
• Carlos Peay, C.PED
• Jaya Bharathi Peddi, M.D.
• Pediatric Behavioral Medicine, Inc
• Pediatric Dental Specialist of New Mexico LLC
• Elizabeth Pedraza
• Priscilla Pedraza, FNP-C

• Mental Health Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.