Anicia Jann Peltzer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

94235 Moore St
Suite 412
Gold Beach, OR 97444-9699

Phone

(541) 247-4082

NPI assigned

Oct 26, 2012

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

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1942553078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94235 MOORE STREET",
            "address_2": "SUITE 412",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "97444",
            "telephone_number": "541-247-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94235 MOORE ST",
            "address_2": "SUITE 412",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974449699",
            "telephone_number": "541-247-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZER",
        "first_name": "ANICIA",
        "middle_name": "JANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Retina, LLP
• Elissa A. Parkerson
• Marshall Patterson
• Paul B Bascom MD
• Paul B Bascom MD LLC
• Viridiana Penaloza
• Noel C Pense, D.O.
• Bruce E. Perry, MD
• Merna Peterson
• Charlotte L. Pla, CADC 11

• Mental Health Counselor in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.