Individual provider Active NPI

Susan C Peach, M.S., L.P.C.

  • Professional Counselor
  • Peyton, CO
National Provider Identifier
1205039286
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4660 Issued in CO
Practice address
7661 McLaughlin Rd
#524
Peyton, CO 80831-4727
Phone
(719) 247-9751
Fax
(888) 782-5643
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4660 CO Primary

Addresses

Primary practice location

7661 McLaughlin Rd
#524
Peyton, CO 80831-4727

Mailing address

7661 McLaughlin Rd
#524
Peyton, CO 80831-4727
Phone (719) 247-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000015 CO Practitioner - Mental Health Counselor 5991142929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Peyton, CO 80831
Phone (719) 247-9751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions Counseling and Consulting LLC Professional CurrentSince Jun 19, 2024 Accepting new patients

Locations

7661 McLaughlin Rd
#524
Peyton, CO 80831
Phone (719) 247-9751

7661 McLaughlin Rd
Ste 524
Peyton, CO 80831
Phone (719) 247-9751

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1205039286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 MCLAUGHLIN RD",
            "address_2": "#524",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314727",
            "telephone_number": "719-247-9751",
            "fax_number": "888-782-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 MCLAUGHLIN RD",
            "address_2": "#524",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314727",
            "telephone_number": "719-247-9751",
            "fax_number": "888-782-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACH",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

Verify at the official NPI Registry.