Individual provider Active NPI

Margaret Peck, LMHC

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1962035808
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12201-01 Issued in NY
Practice address
409 Taughannock Blvd
Ithaca, NY 14850-3232
Phone
(607) 249-3208
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 12201-01 NY Primary

Addresses

Primary practice location

409 Taughannock Blvd
Ithaca, NY 14850-3232

Mailing address

409 Taughannock Blvd
Ithaca, NY 14850-3232
Phone (607) 249-3208

Other practice location 1

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714
Phone (607) 260-3100

Other practice location 2

201 E Green St Ste 500
Ithaca, NY 14850-5635
Phone (607) 274-6288

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

LicenseStateTypeSpecialty
12201-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Psychology, LLP CurrentSince Feb 1, 2023 Accepting new patients
Alcohol & Drug Council of Tompkins County, Inc. PastSince Feb 1, 2020 Accepting new patients
Alcohol & Drug Council PastSince Feb 1, 2020 Accepting new patients

Locations

950 Danby Rd
Ste 202F
Ithaca, NY 14850
Phone (607) 260-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1962035808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TAUGHANNOCK BLVD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503232",
            "telephone_number": "607-249-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TAUGHANNOCK BLVD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503232",
            "telephone_number": "607-249-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Danby Rd Ste 202F",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505714",
            "country_code": "US",
            "telephone_number": "607-260-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Green St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505635",
            "country_code": "US",
            "telephone_number": "607-274-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "MARGARET",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "12201-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.