Peaty Counseling and Consulting, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEATY COUNSELING AND CONSULTING, PLLC

Practice address

1250 Foxhall Dr
Winston Salem, NC 27106-4436

NPI assigned

Apr 1, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Peaty, LCSWNPI 1811181050

Title

Owner/Founder

Phone

(919) 622-7213

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Anne Peaty, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1811181050
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1659900793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S CHERRY ST STE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015271",
            "telephone_number": "336-281-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOXHALL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Foxhall Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271064436",
            "country_code": "US",
            "telephone_number": "919-622-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEATY COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "PEATY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "919-622-7213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Pearman
• Luke Alexander Pearsall, PA
• Cydney Pearson, PMHNP-BC
• Mark Ray Pearson, M.D.
• Patrice S Pearson, NP
• Lisa Anne Peaty, LCSW
• Robert A. Peaty, LMFT
• Kenneth Alton Peavy, D.M.D.
• Julia Celeste Peay, MD, JD
• Pec LTC PA

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.