Blake Peters

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1598 Issued in CT

Practice address

271 Finch Ave
Meriden, CT 06451-2715

Phone

(203) 237-8084

Fax

(203) 639-1333

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sophia Peters Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Franciscan Life Center Network, IncorporatedGroup PAC ID 1456307792, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Franciscan Life Center Network, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meriden, CT
  • NPI 1659435527
  Medicare reassignment Care Compare group NPD
• Franciscan Life Center Network, Incorporated

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1114950243
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1598104267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004160941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "PETERS",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanya Perham, OT
• Lauren Perillo, DO
• Sandra Perkins, L.O.
• Nicholas V Perricone, MD
• Alokh Persha, DMD
• Athena Peterson
• Brad Petitti, PA
• Federica Pettirossi
• Michelle Pheng
• Margaret Phillips, PT

• Marriage & Family Therapist in Meriden, CT
• Providers in Meriden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.