Active NPI
Peggy Flood, COUNSELOR
- Pastoral Counselor
- Lauderhill, FL
National Provider Identifier
1740911015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- FTCA-PF-902-521
- Practice address
- 5730 NW 14TH CT
Lauderhill, FL 33313-6259 - Phone
- (754) 301-3733
- NPI assigned
- Jun 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | FTCA-PF-902-521 | FL | Primary |
Addresses
Primary practice location
5730 NW 14TH CT
Lauderhill, FL 33313-6259
Mailing address
5730 NW 14TH CT
Lauderhill, FL 33313-6259
Phone (754) 301-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FTCA-PF-902-521 | Other | FL | PASTORAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| FTCA-PF-902-521 | FL | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1740911015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 NW 14TH CT",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333136259",
"telephone_number": "754-301-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 NW 14TH CT",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333136259",
"telephone_number": "754-301-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "PEGGY",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-18",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "FTCA-PF-902-521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASTORAL LICENSE",
"identifier": "FTCA-PF-902-521",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.