Peter Damian Kaperick, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006351 Issued in WA

Practice address

22717 SE 29TH St Ste D-101
Sammamish, WA 98075-9532

Phone

(425) 269-3277

Fax

(425) 392-0944

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

Yes

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 WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Centered Mind Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sammamish, WA
  • NPI 1124614680
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1831223221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NW DOGWOOD ST STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273258",
            "telephone_number": "425-269-3277",
            "fax_number": "425-391-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D-101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759532",
            "telephone_number": "425-269-3277",
            "fax_number": "425-392-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPERICK",
        "first_name": "PETER",
        "middle_name": "DAMIAN",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragna Amit Joshi, MS,CCC-SLP
• Christina Kiyoon Jung, MD
• Johannah Kalita, MS
• Soraya Jane Kanakis, PHARM.D.
• Dinesh Kannadath, M.SC
• Tadahiro Katori, ATC
• Jay Stephen Kaufman, O.D.
• Kcaba LLC
• Terry L Keene, ARNP
• Alaba Tosin Kehinde

• Clinical Social Worker in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.