Individual provider Active NPI

Cindy J Peters, PH.D.

  • Clinical Psychologist
  • Morganton, NC
National Provider Identifier
1376683482
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2338 Issued in NC
Practice address
220 W Union St
Morganton, NC 28655-3764
Phone
(828) 409-4640
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2338 NC
Clinical Psychologist 103TC0700X 2338 NC Primary

Addresses

Primary practice location

220 W Union St
Morganton, NC 28655-3764

Mailing address

220 W Union St
Morganton, NC 28655-3764
Phone (828) 409-4640

Other practice location 1

201 Government Ave SW
Suite 305
Hickory, NC 28602-2954
Phone (828) 267-1740

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mimosa Christian Counseling Center, Inc Psychologist CurrentSince Jul 9, 2026 Accepting new patients

Locations

220 Burkemont Ave
Morganton, NC 28655
Phone (828) 433-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1376683482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553764",
            "telephone_number": "828-409-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553764",
            "telephone_number": "828-409-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Government Ave SW",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286022954",
            "country_code": "US",
            "telephone_number": "828-267-1740",
            "fax_number": "828-267-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CINDY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2338",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.