Active NPI
Scott W Peters, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1558305698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18187
- Practice address
- 142 Funston PL
San Antonio, TX 78209-6519 - Phone
- (210) 473-1433
- Fax
- (210) 821-5614
- NPI assigned
- Jun 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18187 | TX | Primary |
Addresses
Primary practice location
142 Funston PL
San Antonio, TX 78209-6519
Mailing address
142 Funston PL
San Antonio, TX 78209-6519
Phone (210) 473-1433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177607201 | Medicaid | TX |
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 |
|---|---|---|---|
| 18187 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1558305698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 FUNSTON PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096519",
"telephone_number": "210-473-1433",
"fax_number": "210-821-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 FUNSTON PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096519",
"telephone_number": "210-473-1433",
"fax_number": "210-821-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SCOTT",
"middle_name": "W",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177607201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.