Individual provider Active NPI

Peter Solin Dietz, ED.D.

  • Professional Counselor
  • Juliustown, NJ
National Provider Identifier
1780924894
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00127900 Issued in NJ
Practice address
420 Main St
Juliustown, NJ 08042-0127
Phone
(609) 707-0379
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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 37PC00127900 NJ Primary

Addresses

Primary practice location

420 Main St
Juliustown, NJ 08042-0127

Mailing address

PO Box 127
420 Main St
Juliustown, NJ 08042-0127
Phone (609) 707-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240828002292 VT Practitioner - Mental Health Counselor 5395284863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00127900NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.a. CurrentSince Sep 9, 2024 Accepting new patients

Locations

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 881-2281

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1780924894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "420 MAIN ST",
            "city": "JULIUSTOWN",
            "state": "NJ",
            "postal_code": "080420127",
            "telephone_number": "609-707-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "city": "JULIUSTOWN",
            "state": "NJ",
            "postal_code": "080420127",
            "telephone_number": "609-707-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "PETER",
        "middle_name": "SOLIN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00127900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.