NPIMap

Organization Active NPI

Theresa Peters Counseling LLC

  • Social Worker
  • Salem, OR
National Provider Identifier
1629599196
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L6571 Issued in OR
Legal business name
THERESA PETERS COUNSELING LLC
Practice address
805 Liberty St NE Ste 2
Salem, OR 97301-2463
Phone
(503) 437-4595
NPI assigned
Jul 5, 2017
Organization subpart
Yes
Parent organization
THERESA PETERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Theresa Louise Peters, LCSW
Title
Licenced Clinical Social Worker
Phone
(503) 437-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X L6571 OR Primary

Addresses

Primary practice location

805 Liberty St NE Ste 2
Salem, OR 97301-2463

Mailing address

6023 Angle Dr NE
Salem, OR 97317-2327
Phone (503) 437-4595

Other names 1

  • Theresa Peters Former legal business name

National Provider Directory

National Provider Directory
Part of
Theresa Peters Counseling LLC

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1629599196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 ANGLE DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973172327",
            "telephone_number": "503-437-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIBERTY ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012463",
            "telephone_number": "503-437-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA PETERS COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERESA PETERS",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "LICENCED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "503-437-4595",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L6571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theresa Peters",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.