Active NPI
Fiona N Peck, M.A.
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1447521802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1527 NE 4TH Ave
Fort Lauderdale, FL 33304-1035 - Phone
- (954) 835-5741
- NPI assigned
- Jan 17, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1527 NE 4TH Ave
Fort Lauderdale, FL 33304-1035
Mailing address
4880 Dockside Dr
Apt D
Coconut Creek, FL 33063-6936
Phone (954) 415-5426
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1447521802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 DOCKSIDE DR",
"address_2": "APT D",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330636936",
"telephone_number": "954-415-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 NE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041035",
"telephone_number": "954-835-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "FIONA",
"middle_name": "N",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-17",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Pearl White Family Dentistry, P.a.
- Nina Joy Pearlmutter, MD
- Colleen M. Pearson, PSY.D.
- Ryan John Pearson
- Joseph Emanuel Pechter, D.M.D.
- Pediatric Medical Daycare of Fort Lauderdale, LLC
- Pediatric Services of America, LLC
- Pediatric Services of America, LLC
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.