Active NPI
Jerrad Peterman
- Professional Counselor
- North Huntingdon, PA
National Provider Identifier
1659124741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 8700 Pennsylvania Ave Ste 3
North Huntingdon, PA 15642-2715 - Phone
- (724) 863-7223
- NPI assigned
- Apr 8, 2024
- Last updated
- Apr 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
8700 Pennsylvania Ave Ste 3
North Huntingdon, PA 15642-2715
Mailing address
6 Brook Valley Dr
Harrison City, PA 15636-1312
Phone (724) 833-3247
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1659124741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BROOK VALLEY DR",
"city": "HARRISON CITY",
"state": "PA",
"postal_code": "156361312",
"telephone_number": "724-833-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 PENNSYLVANIA AVE STE 3",
"city": "NORTH HUNTINGDON",
"state": "PA",
"postal_code": "156422715",
"telephone_number": "724-863-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERMAN",
"first_name": "JERRAD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.