Individual provider Active NPI

Peter C Letendre, MA, CAGS, LMHC, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1245451871
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16434 Issued in FL
Practice address
12272 Tamiami TRL E Ste 402
Naples, FL 34113-7950
Phone
(239) 919-3127
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDP-351 RI
Mental Health Counselor 101YM0800X MHC00413 RI
Mental Health Counselor 101YM0800X MH16434 FL Primary

Addresses

Primary practice location

12272 Tamiami TRL E Ste 402
Naples, FL 34113-7950

Mailing address

12272 Tamiami TRL E Ste 402
Naples, FL 34113-7950
Phone (239) 919-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240509000870 FL Practitioner - Mental Health Counselor 1850732736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12272 Tamiami TRL E
Suite 402
Naples, FL 34113-7950
Phone (239) 919-3127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LCDP-351RIMDAddiction (Substance Use Disorder) Counselor
MHC00413RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Cypress Counseling, LLC Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Peter Letendre, LMHC Mental Health Current Accepting new patients
Big Cypress Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Mar 25, 2024 Accepting new patients
David Lawrence Mental Health Center, Inc CurrentSince Jul 30, 2025 Accepting new patients

Locations

12272 Tamiami Trl E
Ste 402
Naples, FL 34113
Phone (239) 919-3127

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

Organizations & group practices 4

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1245451871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 TAMIAMI TRL E STE 402",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137950",
            "telephone_number": "239-919-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 TAMIAMI TRL E STE 402",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137950",
            "telephone_number": "239-919-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETENDRE",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MA, CAGS, LMHC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDP-351",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00413",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.