Lyn Clark Pegg, EDD, MS, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP 1419 Issued in MN

Practice address

214 W Superior St
Duluth, MN 55802-1904

Phone

(218) 722-2273

NPI assigned

Aug 17, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lake Superior Area Family Services

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1417026667
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841303179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 MINNESOTA AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022425",
            "telephone_number": "218-727-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021904",
            "telephone_number": "218-722-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "LYN",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "EDD, MS, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP 1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Merrill Peaslee
• Kelsey Jo Peaslee, APRN, CNP
• Peder B Morse DDS, PA
• Melissa Lynn Pederson, MA,LADC
• Nicole L Pederson, M.S.,C.G.C
• Heidy L. Peloquin, CCC-SLP
• Ahna L Pelto, LICSW
• Matthew Grant Penning, M.D.
• John William Pepelnjak III, D.C.
• Brandon S Percival, APRN,CRNA

• Counseling Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.