Individual provider Active NPI

Peggy A St. Clair, LMHP, CPC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Norfolk, NE
National Provider Identifier
1730264755
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
120 Issued in NE
Practice address
200 N 34TH St
Norfolk, NE 68701-3197
Phone
(402) 371-3044
Fax
(402) 371-9643
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 774 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 120 NE Primary
Mental Health Counselor 101YM0800X 1261 NE

Addresses

Primary practice location

200 N 34TH St
Norfolk, NE 68701-3197

Mailing address

1909 N Eastwood St
Norfolk, NE 68701-6998
Phone (402) 379-4311

Other identifiers 3

IdentifierTypeStateIssuer
84696OtherNEBCBS OF NEBRASKA
47083165927MedicaidNE
47083165926MedicaidNE

Other names 1

  • Ms. Peggy A Miller Former name

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

State licenses

LicenseStateTypeSpecialty
120NEMDAddiction (Substance Use Disorder) Counselor
774NEMDMental Health Counselor
1261NEMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730264755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N EASTWOOD ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016998",
            "telephone_number": "402-379-4311",
            "fax_number": "402-379-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 34TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013197",
            "telephone_number": "402-371-3044",
            "fax_number": "402-371-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "PEGGY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMHP, CPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "774",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "120",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "84696",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083165927",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083165926",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "MILLER",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.