James Archie Peasley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1221 Issued in MN

Practice address

2780 Snelling Ave N
#104
Roseville, MN 55113-7115

Phone

(651) 633-5290

Fax

(651) 633-5238

NPI assigned

Nov 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighthouse Counseling Services LLC

  • Marriage & Family Therapist
  • Rosevile, MN
  • NPI 1235569476
  Authorized official Same address or phone
• Know the Truth Ministries Inc

  dba Northland Counseling Services

  • Clinical Psychologist
  • Chanhassen, MN
  • NPI 1891725883
  NPD (past)
• The Center for Christian Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
  • NPI 1174776561
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790858264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "#104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "612-382-5608",
            "fax_number": "651-633-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "#104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-5290",
            "fax_number": "651-633-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASLEY",
        "first_name": "JAMES",
        "middle_name": "ARCHIE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Grace Pazienza
• PDG, P.a. (Park Dental)
• PDG, PA (Facial Pain Center)
• PDG,P.a. (Park Dental)
• Mardelle Brandt Pearson, M.A. L.P.
• Julie Anne Peck, RN
• Karen Pedersen
• Samantha R Pederson, DC
• Pediatric Home Respiratory Services LLC
• Pediatric Home Respiratory Services LLC (Pediatric Home Service)

• Marriage & Family Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.