Active NPI
Angelica Darlynetta Peterson, LPC
- Professional Counselor
- Plaquemine, LA
National Provider Identifier
1770085938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5602
- Practice address
- 58205 Bayou Jacob Rd
Plaquemine, LA 70764 - Phone
- (225) 428-1411
- NPI assigned
- Mar 5, 2018
- Last updated
- May 16, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 5602 | LA | Primary |
| Case Manager/Care Coordinator | 171M00000X | 5602 | LA |
Addresses
Primary practice location
58205 Bayou Jacob Rd
Plaquemine, LA 70764
Mailing address
58205 Bayou Jacob Rd
Plaquemine, LA 70764-5237
Phone (225) 421-0223
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 |
|---|---|---|---|
| 5602 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1770085938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58205 BAYOU JACOB RD",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707645237",
"telephone_number": "225-421-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58205 BAYOU JACOB RD",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "70764",
"telephone_number": "225-428-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ANGELICA",
"middle_name": "DARLYNETTA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5602",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "5602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plaquemine, LA
- Pathways Counseling Center, LLC
- Patrick Guidry, D.D.S. a.P.D.C.
- Patrick W. Dooley D.D.S.LLC
- Henry Patterson
- Pediatric Associates
- Maci Breaux Petite, APRN, FNP-C
- Physicians Imaging - Iberville LLC
- Physicians Imaging-Iberville Associates LLC
- Physicians' Choice Physical Therapy of Iberville Parish, L. L. C.
- Adam Pickle, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.