Individual provider Active NPI

Presley Siane Peterson, LMFTA

  • Marriage & Family Therapist
  • Wilmington, NC
National Provider Identifier
1467369108
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
21224A Issued in NC
Practice address
890 S Kerr Ave Ste 200
Wilmington, NC 28403-4248
Phone
(910) 788-2375
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 21224A NC Primary

Addresses

Primary practice location

890 S Kerr Ave Ste 200
Wilmington, NC 28403-4248

Mailing address

4037 Watercraft Ferry Ave Unit 320
Wilmington, NC 28412-6280
Phone (360) 520-9374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1467369108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 WATERCRAFT FERRY AVE UNIT 320",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126280",
            "telephone_number": "360-520-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S KERR AVE STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034248",
            "telephone_number": "910-788-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PRESLEY",
        "middle_name": "SIANE",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "21224A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.