Active NPI
Emily Carter Petersen, MA
- Professional Counselor
- Reidsville, NC
National Provider Identifier
1447487772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001
- Practice address
- 8806 NC Highway 87
Reidsville, NC 27320-7363 - Phone
- (336) 634-3250
- NPI assigned
- Jun 13, 2009
- Last updated
- Jun 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 2001 | NC | Primary |
Addresses
Primary practice location
8806 NC Highway 87
Reidsville, NC 27320-7363
Mailing address
1029 Frances Dr
Reidsville, NC 27320-7012
Phone (336) 342-4297
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244851200000",
"number": "1447487772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 FRANCES DR",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273207012",
"telephone_number": "336-342-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8806 NC HIGHWAY 87",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273207363",
"telephone_number": "336-634-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "EMILY",
"middle_name": "CARTER",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2009-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
- Pelham Transportation Corporation
- Pelican Health Reidsville LLC (Cypress Valley Center for Nursing and Rehabilitation)
- Rebekah Pennington, PA
- Qua'Shawn Pernell, BSW, MSW, LCSWA
- Peter Grumbos DDS Reidsville PLLC
- Georgi P Petrov, D.D.S.
- Physical Therapy and Hand Specialist, LLC
- Piedmont Occupational & General Medicine (Piedmont Occupational Urgent Care)
- Piedmont Podiatry Associates, PLLC (Piedmont Foot Center)
- Piedmont Stone Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.