Robbie Jon Petsche, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-19398 Issued in AZ

Practice address

115 S Candy LN Ste 115C2
Cottonwood, AZ 86326-4105

Phone

(602) 358-7073

Fax

(602) 429-8602

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Teris Health Services LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1215422126
  NPD
• Teri'S Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1790374833
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1316540933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23380 N 61ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105748",
            "telephone_number": "602-358-7073",
            "fax_number": "602-429-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CANDY LN STE 115C2",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264105",
            "telephone_number": "602-358-7073",
            "fax_number": "602-429-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14040 N Cave Creek Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226179",
            "country_code": "US",
            "telephone_number": "602-358-7073",
            "fax_number": "602-429-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETSCHE",
        "first_name": "ROBBIE",
        "middle_name": "JON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823714961",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "terishealthservices.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "115 S Candy Ln Ste 115C2",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863264105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peak Solutions Counseling
• Donald H. Peck, D.C.
• Bruce William Peek, MD
• Eve S Pence, DMD
• Jessie Joann Peters, FNP-BC
• Kathleen Pettersen
• Gail Kathleen Phelps, DENTAL HYGIENIST
• Amanda L. Phillips, CRNA
• David Piatt, DO
• Nancy Ann Pierce, FNP-C

• Professional Counselor in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.