Individual provider Active NPI

Tulsa Peters, LMHC, LPC

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1861125361
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
108 S Franklin Ave
Valley Stream, NY 11580-6105
Phone
(516) 303-9925
NPI assigned
Jul 3, 2022
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY Primary
Professional Counselor 101YP2500X LPC015511 GA

Addresses

Primary practice location

108 S Franklin Ave
Valley Stream, NY 11580-6105

Mailing address

2107 Station Club Dr SW
Marietta, GA 30060-7517
Phone (347) 346-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250905004627 GA Practitioner - Mental Health Counselor 2567964711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2107 Station Club Dr SW
Marietta, GA 30060-7517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC015511GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Mental Health Counseling Services, PLLC Mental Health CurrentSince Aug 4, 2024 Accepting new patients
Tranquil Embers Mental Health Counseling, LLC CurrentSince Jun 8, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 18, 2025 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

108 S Franklin Ave
Valley Stream, NY 11580
Phone (516) 303-9925

108 S Franklin Ave
Ste 3
Valley Stream, NY 11580
Phone (516) 303-9925

108 S Franklin Ave
Ste 9
Valley Stream, NY 11580
Phone (516) 303-9925

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1861125361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 STATION CLUB DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607517",
            "telephone_number": "347-346-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806105",
            "telephone_number": "516-303-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TULSA",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.