Active NPI
Michael Peters, L.P.C.
- Professional Counselor
- Bedford, TX
National Provider Identifier
1346414729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12670
- Practice address
- 1901 Central Dr
Ste 700
Bedford, TX 76021-5869 - Phone
- (817) 354-1234
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12670 | TX | Primary |
Addresses
Primary practice location
1901 Central Dr
Ste 700
Bedford, TX 76021-5869
Mailing address
1901 Central Dr
Ste 700
Bedford, TX 76021-5869
Phone (817) 354-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83540L | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Michael Peters
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 |
|---|---|---|---|
| 12670 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Counseling | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Bedford, TX
- NPI 1962575415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1346414729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 CENTRAL DR",
"address_2": "STE 700",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215869",
"telephone_number": "817-354-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 CENTRAL DR",
"address_2": "STE 700",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215869",
"telephone_number": "817-354-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHAEL",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "83540L",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "PETERS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.