Active NPI
Marcy Peake, LPC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1891150264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401006812
- Practice address
- 1902 N Edwards St
Kalamazoo, MI 49007-1891 - Phone
- (269) 330-3978
- NPI assigned
- Dec 29, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401006812 | MI | Primary |
Addresses
Primary practice location
1902 N Edwards St
Kalamazoo, MI 49007-1891
Mailing address
PO Box 20004
Kalamazoo, MI 49019-1004
Phone (269) 330-3978
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 |
|---|---|---|---|
| 6401006812 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1891150264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20004",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490191004",
"telephone_number": "269-330-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 N EDWARDS ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490071891",
"telephone_number": "269-330-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAKE",
"first_name": "MARCY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401006812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.