Devin Sean Peck, LPCC TRAINEE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3090 Fite Cir Ste 102
Sacramento, CA 95827-1810

Phone

(916) 701-5197

Fax

(724) 648-3486

NPI assigned

Dec 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Anchor Therapy Clinic

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1720557721
  NPD

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1750150322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 POLE LINE RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956181360",
            "telephone_number": "714-469-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 FITE CIR STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271810",
            "telephone_number": "916-701-5197",
            "fax_number": "724-648-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "DEVIN",
        "middle_name": "SEAN",
        "credential": "LPCC TRAINEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jeanette Peattie, AU.D.
• Jake Anthony Peccia, RN, BSN, EMT-P
• Robert Luke Pecha, MD
• Brian Richard Peck, DMD
• Caroline Anne Peck, M.D.
• Garrett Peck
• Michael Peck, RN
• Himaja Peddi, M.D.
• Nigel Paul Pedersen, M.D.
• Pediatric Bioscience, Inc.

• Mental Health Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.