Active NPI
Peter Gasser, LPC, LMAC
- Addiction (Substance Use Disorder) Counselor
- Shawnee, KS
National Provider Identifier
1477967420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1152
- Practice address
- 6221 Richards Dr
Shawnee, KS 66216-1724 - Phone
- (913) 248-1943
- Fax
- (913) 248-1994
- NPI assigned
- Jun 18, 2014
- Last updated
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 114 | KS | |
| Professional Counselor | 101YP2500X | 2619 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1152 | KS | Primary |
Addresses
Primary practice location
6221 Richards Dr
Shawnee, KS 66216-1724
Mailing address
130 E 5TH St
PO Box 711
Newton, KS 67114-2206
Phone (316) 283-6743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100106710 I | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2619 | KS | MD | Professional Counselor |
| 114 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mirror, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1477967420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E 5TH ST",
"address_2": "PO BOX 711",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142206",
"telephone_number": "316-283-6743",
"fax_number": "316-283-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 RICHARDS DR",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161724",
"telephone_number": "913-248-1943",
"fax_number": "913-248-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASSER",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "LPC, LMAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "114",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2619",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "1152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100106710 I",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.