Individual provider Active NPI

Keyanna Peters, LPC

  • Professional Counselor
  • Anniston, AL
National Provider Identifier
1760840862
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3451 Issued in AL
Practice address
1525 Leighton Ave Ste B
Anniston, AL 36207
Phone
(256) 343-4080
Fax
(256) 937-7063
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3451 AL Primary

Addresses

Primary practice location

1525 Leighton Ave Ste B
Anniston, AL 36207

Mailing address

1525 Leighton Ave Ste B
Anniston, AL 36207-3805
Phone (256) 343-4080

Other practice location 1

1525 Leighton Ave Ste B
Anniston, AL 36207
Phone (256) 343-4080

Other practice location 2

320 Snow St Ste C
Oxford, AL 36203-5402
Phone (256) 343-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240213000198 AL Practitioner - Mental Health Counselor 6305289703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stepping Stones to Success, LLCGroup PAC ID 5496198897, 2 clinicians

Practice addresses (Care Compare)

1525 Leighton Ave
Suite B
Anniston, AL 36207-3802

320 Snow St
Suite C
Oxford, AL 36203-5402
Phone 2563434080101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3451ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones to Success, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1525 Leighton Ave
Ste B
Anniston, AL 36207
Phone 2563434080 ext. 101

320 Snow St
Ste C
Oxford, AL 36203
Phone (256) 343-4080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1760840862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LEIGHTON AVE STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073805",
            "telephone_number": "256-343-4080",
            "fax_number": "256-937-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LEIGHTON AVE STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-343-4080",
            "fax_number": "256-937-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Leighton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "36207",
            "country_code": "US",
            "telephone_number": "256-343-4080",
            "fax_number": "256-937-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Snow St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362035402",
            "country_code": "US",
            "telephone_number": "256-343-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KEYANNA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-12-08",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.