Individual provider Active NPI

Valerie P. Peterson, L.M.H.C, N.CC, CCMHC

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1376795690
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH-8611 Issued in FL
Practice address
215 Mountain Dr #106
Emerald Coast Counseling Center, PA
Destin, FL 32541
Phone
(850) 837-9100
Fax
(850) 837-3774
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH-8611 FL Primary

Addresses

Primary practice location

215 Mountain Dr #106
Emerald Coast Counseling Center, PA
Destin, FL 32541

Mailing address

215 Mountain Dr #106
Emerald Coast Counseling Center, P.a.
Destin, FL 32541
Phone (850) 837-9100

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.
Opted out of Medicare
Yes, effective Aug 14, 2025 through Aug 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH-8611FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Counseling Center PA Mental Health PastSince Jan 6, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1376795690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN DR #106",
            "address_2": "EMERALD COAST COUNSELING CENTER, P.A.",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-837-9100",
            "fax_number": "850-837-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN DR #106",
            "address_2": "EMERALD COAST COUNSELING CENTER, PA",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-837-9100",
            "fax_number": "850-837-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "VALERIE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C, N.CC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-8611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.