Abigail Peck, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ABIGAIL PECK, PLLC

Practice address

3301 Veterans Dr Ste 106
Traverse City, MI 49684-4592

Phone

(231) 442-0887

Fax

(231) 220-9820

NPI assigned

Feb 13, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Abigail Peck, LMSW-CNPI 1326500935

Title

Owner

Phone

(231) 442-0887

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail A Peck, LMSW-C

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1326500935
  NPD Authorized official

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1780339366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 VETERANS DR STE 106",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844592",
            "telephone_number": "231-442-0887",
            "fax_number": "231-220-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 VETERANS DR STE 106",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844592",
            "telephone_number": "231-442-0887",
            "fax_number": "231-220-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL PECK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-442-0887",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.