Stuart M Peace III, M.ED., LPC, NCC, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

135 Issued in NE

Practice address

Eisenhower Army Medical Center, BLDG 300
13TH Floor, Outpatient Behavioral Health Services
Fort Gordon, GA 30905

Phone

(706) 469-7970

NPI assigned

Mar 18, 2006

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1790744845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BRIGHAM TRL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096061",
            "telephone_number": "706-469-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER, BLDG 300",
            "address_2": "13TH FLOOR, OUTPATIENT BEHAVIORAL HEALTH SERVICES",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-469-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE",
        "first_name": "STUART",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.ED., LPC, NCC, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Hanks OD PC
• Benjamin Alan Patterson, DDS
• Angelletta N Payne, DO
• Dennis Ray Payne, RPH
• Samuel E Payne, MD
• Roland Lee Peckham Jr.
• Jeanne N Pedigo, M.D.
• James Robert Peel, M.D.
• Sebrina Peeples, LPN
• Kimberly Norris Pennington, PHARM.D.

• Mental Health Counselor in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.