Active NPI
Presley Siane Peterson, LMFTA
- Marriage & Family Therapist
- Wilmington, NC
National Provider Identifier
1467369108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 21224A
- 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
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 |
|---|---|---|---|---|
| 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.