Gregory Peebles, AM, MA, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4236 Lindell Blvd
Suite 200
Saint Louis, MO 63108-2948

Phone

(314) 531-1155

Fax

(314) 531-1170

NPI assigned

Jan 23, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Louis Behavioral Medicine Institute IncGroup PAC ID 3173428638, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• St. Louis Behavioral Medicine Institute Inc

  • Psychologist
  • Saint Louis, MO
  • NPI 1487732335
  Medicare reassignment Care Compare group NPD
• St. Louis Behavioral Medicine Institute Inc

  • Mental Health Counselor
  • Fairview Heights, IL
  • NPI 1952169179
  NPD
• St. Louis Center for Family Development, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1841430790
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1821411067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 LINDELL BLVD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082948",
            "telephone_number": "314-531-1155",
            "fax_number": "314-531-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 LINDELL BLVD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082948",
            "telephone_number": "314-531-1155",
            "fax_number": "314-531-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "AM, MA, PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group
• Pediatrix Medical Group of Missouri, P.C.
• Pedirite Medical Mo LLC
• Leticia Pedroso Salaro Telles
• Peds' Needs Inc
• Hannah Michelle Peek, CAA
• Mary Peeples, DO
• Adam Kent Peery, FNP
• Victor D Pegado, MD
• Pegasus Delivery Service LLC

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.