Active NPI
Angela M Peterson, LMHC
- Mental Health Counselor
- Indian Orchard, MA
National Provider Identifier
1871974329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9180
- Practice address
- 529 Main St
Indian Orchard, MA 01151-1228 - Phone
- (413) 543-5865
- Fax
- (413) 543-2202
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9180 | MA | Primary |
Addresses
Primary practice location
529 Main St
Indian Orchard, MA 01151-1228
Mailing address
47 Burlington Dr
Feeding Hills, MA 01030-2259
Phone (413) 789-6139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9180 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433894400000",
"number": "1871974329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 BURLINGTON DR",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010302259",
"telephone_number": "413-789-6139",
"fax_number": "413-543-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAIN ST",
"city": "INDIAN ORCHARD",
"state": "MA",
"postal_code": "011511228",
"telephone_number": "413-543-5865",
"fax_number": "413-543-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2015-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Orchard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.