Robert A. Peaty, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1217 Issued in NC

Practice address

610 Coliseum Dr
Winston Salem, NC 27106-5325

Phone

(336) 722-8173

Fax

(336) 724-6491

NPI assigned

Mar 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Services, Inc.

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1225108707
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1508036013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLISEUM DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065325",
            "telephone_number": "336-722-8173",
            "fax_number": "336-724-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLISEUM DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065325",
            "telephone_number": "336-722-8173",
            "fax_number": "336-724-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEATY",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cydney Pearson, PMHNP-BC
• Mark Ray Pearson, M.D.
• Patrice S Pearson, NP
• Peaty Counseling and Consulting, PLLC
• Lisa Anne Peaty, LCSW
• Kenneth Alton Peavy, D.M.D.
• Julia Celeste Peay, MD, JD
• Pec LTC PA
• Robins Nicholas Peck, PHARMD
• Shelly Harrell Pecorella, MD

• Marriage & Family Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.