Douglas Andrew Peck, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006431 Issued in NY

Practice address

1600 Harrison Ave Ste 208D
Mamaroneck, NY 10543-3150

Phone

(914) 500-9892

Fax

(914) 828-0072

NPI assigned

May 29, 2008

Last updated

Dec 30, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 1, 2025 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Devas Mental Health Counseling, PLLC

  dba Devas Counseling

  • Mental Health Counselor
  • Mamaroneck, NY
  • NPI 1508232745
  Authorized official Same address or phone

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1851559587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE 208D",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433150",
            "telephone_number": "914-500-9892",
            "fax_number": "914-828-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE 208D",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433150",
            "telephone_number": "914-500-9892",
            "fax_number": "914-828-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "DOUGLAS",
        "middle_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Gittelman MD PLLC
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• Amy Augusta Peet-Pace
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• Eimy Banesa Perez

• Mental Health Counselor in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.