Rayven Peck, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88446 Issued in TX

Practice address

303 S State Hwy 78
#100
Wylie, TX 75098

Phone

(806) 993-3333

NPI assigned

Aug 9, 2018

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCNT Inc.

  dba Counseling Center of North Texas

  • Clinical Social Worker
  • Wylie, TX
  • NPI 1912447681
  Medicare reassignment NPD

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1316426315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S STATE HWY 78",
            "address_2": "#100",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S STATE HWY 78",
            "address_2": "#100",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "806-993-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "RAYVEN",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "RBT-18-58017",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-18-58017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tena P Patterson, MD
• Peak Physical Therapy & Sports Medicine of Wylie
• Peak Physical Therapy, LLC
• John W Pearcy, PHARMACIST
• Allen Igorovich Pearson, D.D.S
• Pediatric and Sports Physical Therapy PLLC
• Pediatric and Sports Physical Therapy PLLC
• Pediatric Associates of Wylie, P.a.
• Personal Touch Hospice Care Inc
• Stephanie Peurifoy

• Mental Health Counselor in Wylie, TX
• Providers in Wylie, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.