Tracey Peterson, M.B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

234 Kettering Rd
High Point, NC 27263-1759

Phone

(336) 681-2753

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tracey Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1740582345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KETTERING RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631759",
            "telephone_number": "336-681-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 KETTERING RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272631759",
            "telephone_number": "336-681-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "PETERSON",
            "prefix": "MS.",
            "credential": "MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashleigh Ann Peters, PHARMD
• Case Hammond Peters
• Lenin J Peters, M.D.
• Roy John Peters, M.D.
• Brandye Elizabeth Peterson, OTR/L
• Brett Steven Pexa, PHD, ATC, LAT
• Stephanie Peele Philbin
• Marisa A Phillipps, RN
• Chandra Denise Phillips, RN
• Charlise Kyndall Phillips

• Mental Health Counselor in High Point, NC
• Providers in High Point, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.