Johnnie Peeples Jr., CATC- I COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

198992I Issued in CA

Practice address

18090 Beach Blvd Ste 6
Huntington Beach, CA 92648-1327

Phone

(714) 841-3863

NPI assigned

Dec 9, 2019

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1972140945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD STE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "714-841-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD STE 6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "714-841-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "JOHNNIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CATC- I COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "198992I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Pearson
• Christina Vera Pechan, LMFT, APCC
• Sherry Peck, OTR/L
• Pediatric Care Medical Group, Inc.
• Farzin Benjamin Pedouim, M.D.
• Scott M Peifer, DDS
• Kimberly Peirson, M.D.
• Allyson Pelletier
• Charles Craig Pelletier, D.D.S.
• Karissa Pelman

• Addiction (Substance Use Disorder) Counselor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.