Individual provider Active NPI

Robert James Peters, LCSW

  • Mental Health Counselor
  • Schenectady, NY
National Provider Identifier
1629082714
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R028812-1 Issued in NY
Practice address
818 Union St
Schenectady, NY 12308-3104
Phone
(518) 372-5667
Fax
(518) 372-5686
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R028812-1 NY Primary

Addresses

Primary practice location

818 Union St
Schenectady, NY 12308-3104

Mailing address

818 Union St
Schenectady, NY 12308-3104
Phone (518) 372-5667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20051229000596 NY Practitioner - Clinical Social Worker 8820010176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of Diocese of AlbanyGroup PAC ID 5294757928, 3 clinicians

Practice addresses (Care Compare)

142 Regent St
Saratoga Springs, NY 12866-4308
Phone (518) 587-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028812-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Diocese of Albany CurrentSince Jan 1, 2006 Accepting new patients
Catholic Charities of Saratoga, Warren and Washington Counties Past Accepting new patients

Locations

142 Regent St
Saratoga Springs, NY 12866
Phone (518) 587-5000

818 Union St
Schenectady, NY 12308
Phone (518) 372-5667

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629082714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083104",
            "telephone_number": "518-372-5667",
            "fax_number": "518-372-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083104",
            "telephone_number": "518-372-5667",
            "fax_number": "518-372-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R028812-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.