Individual provider Active NPI

William Peach III, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1255788972
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
079765 Issued in IA
Practice address
3606 Kimball Ave Ste 9
Waterloo, IA 50702-5732
Phone
(319) 939-4599
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 079765 IA Primary

Addresses

Primary practice location

3606 Kimball Ave Ste 9
Waterloo, IA 50702-5732

Mailing address

3606 Kimball Ave Ste 9
Waterloo, IA 50702-5732
Phone (319) 939-4599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250403001521 IA Practitioner - Mental Health Counselor 8224552922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Community Health Clinic, Inc.Group PAC ID 6406746668, 29 clinicians

Practice addresses (Care Compare)

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Counseling LLC Mental Health Current Accepting new patients
Peoples Community Health Clinic, Inc CurrentSince Apr 7, 2025 Accepting new patients
Peoples Community Health Clinic, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Peoples Community Health Clinic, Inc Current Accepting new patients

Locations

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Organizations & group practices 5

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1255788972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE STE 9",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025732",
            "telephone_number": "319-939-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE STE 9",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025732",
            "telephone_number": "319-939-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACH",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "079765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.