Individual provider Active NPI

Carol Catherine Peters, LMHC LICENSED MENTAL

  • Psychologist
  • Seattle, WA
National Provider Identifier
1265509210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LH00003500 Issued in WA
Practice address
843 NE 66TH Street
Seattle, WA 98115-5553
Phone
(206) 282-2180
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LH00003500 WA Primary

Addresses

Primary practice location

843 NE 66TH Street
Seattle, WA 98115-5553

Mailing address

843 NE 66TH Street
Seattle, WA 98115-5553
Phone (206) 282-2180

Other identifiers 1

IdentifierTypeStateIssuer
PE7496OtherREGENCE HEALTH INSURANCE

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

State licenses

LicenseStateTypeSpecialty
LH00003500WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265509210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 NE 66TH STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155553",
            "telephone_number": "206-282-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 NE 66TH STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155553",
            "telephone_number": "206-282-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CAROL",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LMHC LICENSED MENTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "LH00003500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE HEALTH INSURANCE",
            "identifier": "PE7496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • 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.