Individual provider Active NPI

Cynthia M Peters, LPC

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1760575856
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60133 Issued in TX
Practice address
7105 SW 34TH Ave Ste F
Amarillo, TX 79109-2904
Phone
(806) 355-0655
Fax
(806) 355-0673
NPI assigned
Oct 2, 2006
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60133 TX
Mental Health Counselor 101YM0800X 60133 TX Primary

Addresses

Primary practice location

7105 SW 34TH Ave Ste F
Amarillo, TX 79109-2904

Mailing address

7105 SW 34TH Ave Ste B
Amarillo, TX 79109-2906
Phone (806) 355-0655

Other identifiers 1

IdentifierTypeStateIssuer
180943602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119001500 TX Practitioner - Mental Health Counselor 9234664996 Reassigns benefits to 1 organization
Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Texas Panhandle Mental Health Mental RetardationGroup PAC ID 0446200067, 8 clinicians

Practice addresses (Care Compare)

6600 Killgore Dr
Amarillo, TX 79106-3700
Phone (806) 358-1681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60133TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Panhandle Mental Health Mental Retardation CurrentSince Jul 1, 2025 Accepting new patients

Locations

6600 Killgore Dr
Amarillo, TX 79106
Phone (806) 337-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1760575856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 SW 34TH AVE STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791092906",
            "telephone_number": "806-355-0655",
            "fax_number": "806-355-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW 34TH AVE STE F",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791092904",
            "telephone_number": "806-355-0655",
            "fax_number": "806-355-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "60133",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "60133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180943602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.