Individual provider Active NPI

Kristine A Peters, LPC, LCADC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1346700580
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5465 Issued in NV
Practice address
6706 Cypress Park CT
Las Vegas, NV 89131-2754
Phone
(702) 682-6635
NPI assigned
Mar 22, 2019
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP5465 NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07474-LC NV
Professional Counselor 101YP2500X 2026044922 MO

Addresses

Primary practice location

6706 Cypress Park CT
Las Vegas, NV 89131-2754

Mailing address

6706 Cypress Park CT
Las Vegas, NV 89131-2754
Phone (702) 682-6635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20250311002113 NV Practitioner - Mental Health Counselor 9739600347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

203 S Water St
Suite 206
Henderson, NV 89015-7226
Phone (323) 205-7088

2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07474-LCNVMDAddiction (Substance Use Disorder) Counselor
2026044922MOMDProfessional Counselor
CP5465NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Jan 1, 2026 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Feb 26, 2025 Accepting new patients

Locations

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

203 S Water St
Ste 206
Henderson, NV 89015

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1346700580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 CYPRESS PARK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312754",
            "telephone_number": "702-682-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 CYPRESS PARK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312754",
            "telephone_number": "702-682-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5465",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07474-LC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2026044922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.