Krylyn Peters, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-10966 Issued in AZ

Practice address

4425 W Olive Ave
Suite 194
Glendale, AZ 85302-3843

Phone

(480) 784-1514

Fax

(602) 629-1536

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1871757591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE",
            "address_2": "SUITE 194",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "480-784-1514",
            "fax_number": "602-629-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE",
            "address_2": "SUITE 194",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "480-784-1514",
            "fax_number": "602-629-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KRYLYN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan I Peskind, LCSW
• Nathalie Tania Petein-Alamshaw, MD
• Peter S. Nelson, DDS, PLLC
• Bailey Renee Peters, LAC
• Eric A Peters, MD
• Richard Peters
• Sandi Peters
• Kenneth R. Petersen, MD
• Nathan Jeffrey Petersen, MD
• Samantha Peterson, RBT

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.