Active NPI
Kimeka L Peake, LPC
- Mental Health Counselor
- Hopkins, SC
National Provider Identifier
1295353472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6895
- Practice address
- 129 Bloxome Dr
Hopkins, SC 29061-8225 - Phone
- (803) 770-4479
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6895 | SC | Primary |
Addresses
Primary practice location
129 Bloxome Dr
Hopkins, SC 29061-8225
Mailing address
213 E Dorchester Blvd
Greenville, SC 29605-2450
Phone (704) 641-4413
Other names 1
- Ms. Kimeka L Peake
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6895 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1295353472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 E DORCHESTER BLVD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052450",
"telephone_number": "704-641-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 BLOXOME DR",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290618225",
"telephone_number": "803-770-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAKE",
"first_name": "KIMEKA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMEKA",
"last_name": "PEAKE",
"middle_name": "L",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hopkins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.