Active NPI
Scott H Peterson, LMHC
- Mental Health Counselor
- Anderson, IN
National Provider Identifier
1811166937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001409A
- Practice address
- 2020 Brown St
Anderson, IN 46016-4218 - Phone
- (765) 649-8161
- Fax
- (765) 641-8350
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001409A | IN | Primary |
Addresses
Primary practice location
2020 Brown St
Anderson, IN 46016-4218
Mailing address
PO Box 1258
Anderson, IN 46015-1258
Phone (765) 649-8161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001409A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1811166937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460151258",
"telephone_number": "765-649-8161",
"fax_number": "765-641-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 BROWN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164218",
"telephone_number": "765-649-8161",
"fax_number": "765-641-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SCOTT",
"middle_name": "H",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001409A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.