Active NPI
Kristen Annette Peltz, MS, LPC
- Counselor
- Maryville, MO
National Provider Identifier
1942270277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 001699
- Practice address
- 2416 S Main St
Maryville, MO 64468-3624 - Phone
- (660) 562-2353
- Fax
- (660) 562-2933
- NPI assigned
- Jan 26, 2006
- Last updated
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 001699 | MO | Primary |
Addresses
Primary practice location
2416 S Main St
Maryville, MO 64468-3624
Mailing address
26716 370TH St
Barnard, MO 64423-9632
Phone (660) 652-3576
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001699 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1942270277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26716 370TH ST",
"city": "BARNARD",
"state": "MO",
"postal_code": "644239632",
"telephone_number": "660-652-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644683624",
"telephone_number": "660-562-2353",
"fax_number": "660-562-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTZ",
"first_name": "KRISTEN",
"middle_name": "ANNETTE",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "001699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.