Eric Minton Peebles

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.015850 Issued in IL

Practice address

0N 163 Windermere Rd.
Unit 1102
Winfield, IL 60190-6019

Phone

(888) 678-2767

Fax

(888) 678-2767

NPI assigned

Apr 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Abilities Unlimited LLC

  dba Accessible Alabama

  • Community/Behavioral Health Agency
  • Auburn, AL
  • NPI 1821619453
  NPD Authorized official

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1780203406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OXMOOR RD # 272",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093502",
            "telephone_number": "888-678-2767",
            "fax_number": "888-678-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0N 163 WINDERMERE RD.",
            "address_2": "UNIT 1102",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601906019",
            "telephone_number": "888-678-2767",
            "fax_number": "888-678-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Wire Rd Apt 4-7",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368326645",
            "country_code": "US",
            "telephone_number": "888-678-2767 x101",
            "fax_number": "888-678-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "ERIC",
        "middle_name": "MINTON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "NJDCATEMP-005638",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhash Kanubhai Patel, MD
• Pathways Psychology Services P.C.
• Pauline K. Wiener, M.D., S.C.
• Kristine Pearson-Chauhan, DO
• Steven Dale Pearson Jr., M.D.
• Jaime Anne Pellegrino-Maurella, PSY.D., LCPC.
• Michael Perconti, MD
• Karen Perion, APN
• Richard L Persino, MD
• Jessica Peters

• Professional Counselor in Winfield, IL
• Providers in Winfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.