Frederick James Peters Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004377 Issued in NC

Practice address

259 N Kelly St
Statesville, NC 28677-5209

Phone

(704) 500-0087

Fax

(704) 500-2720

NPI assigned

Jul 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Frederick James Peters Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Caring Alternative, LLCGroup PAC ID 4981760030, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fredrick.peters@direct.acallc.nchie.net
• Direct secure messaging: frederick.peters@direct.acallc.nchie.net

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.

• A Caring Alternative, LLC

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1932118551

  NC

  Medicare reassignment Care Compare group NPD
• A Caring Alternative, LLC

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1720514920
  NPD
• Carolinas Counseling Solutions Inc.

  • Mental Health Counselor
  • Statesville, NC
  • NPI 1437388766
  NPD (past)
• Mental Health Provider Services LLC

  • Psychologist
  • Statesville, NC
  • NPI 1679708721
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1659501617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N KELLY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775209",
            "telephone_number": "704-500-0087",
            "fax_number": "704-500-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N KELLY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775209",
            "telephone_number": "704-500-0087",
            "fax_number": "704-500-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "FREDERICK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "PETERS",
            "middle_name": "JAMES",
            "suffix": "JR.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Randall Scott Perry, DDS
• Personal Touch Care Team, Inc
• Personal Touch Care Team, Inc
• Personal Touch Care Team, Inc
• Personal Touch Care Team, Inc
• Lyn-Isha L Petersen
• Nanette Petersen, IBCLC
• Julie Beth Peterson, NP
• Joseph A Petrozza, MD
• Kurt Petterson, DPM

• All providers in Statesville, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.