Active NPI
Stefanni A Peters, MSPC, LAC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1760989396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-16195
- Practice address
- 9825 N 95TH St Ste 101
Scottsdale, AZ 85258-4590 - Phone
- (480) 941-4247
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-16195 | AZ | Primary |
Addresses
Primary practice location
9825 N 95TH St Ste 101
Scottsdale, AZ 85258-4590
Mailing address
9825 N 95TH St Ste 101
Scottsdale, AZ 85258-4590
Phone (480) 941-4247
Other practice location 1
10451 W Palmeras Dr Ste 126A
Sun City, AZ 85373-2044
Phone (480) 869-2618
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 |
|---|---|---|---|
| LAC-16195 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1760989396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 N 95TH ST STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584590",
"telephone_number": "480-941-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 N 95TH ST STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584590",
"telephone_number": "480-941-4247"
}
],
"practiceLocations": [
{
"address_1": "10451 W Palmeras Dr Ste 126A",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853732044",
"country_code": "US",
"telephone_number": "480-869-2618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "STEFANNI",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MSPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-16195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.