Jamie Marie Peckous, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007371 Issued in NC

Practice address

702 Cromwell Dr
Suite G
Greenville, NC 27858-5436

Phone

(252) 756-5654

Fax

(252) 558-0655

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1790065860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CROMWELL DR",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585436",
            "telephone_number": "252-756-5654",
            "fax_number": "252-558-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CROMWELL DR",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585436",
            "telephone_number": "252-756-5654",
            "fax_number": "252-558-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKOUS",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Jarrod Austin Pearce, CRNA
• David W Pearsall Jr., MD
• Renee Pearson, MSW, LCSW, LCAS
• Kenneth Peat, MD
• Corissa Peate, ACNP
• Danielle Korinne Pecone, MD
• Robert Pecoraro
• Hannah Elizabeth Pedder, PA-C
• Charlene Harman Peden, RPH
• James G Peden Jr., MD

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.