Active NPI
Cheryl L Peterson, LPCC
- Professional Counselor
- Marion, OH
National Provider Identifier
1982264263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2303278
- Practice address
- 1713 Marion Waldo Rd
Marion, OH 43302-7427 - Phone
- (740) 387-2027
- NPI assigned
- Jun 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C.1901678-TRNE | OH | |
| Professional Counselor | 101YP2500X | E.2303278 | OH | Primary |
Addresses
Primary practice location
1713 Marion Waldo Rd
Marion, OH 43302-7427
Mailing address
1713 Marion Waldo Rd
Marion, OH 43302-7427
Phone (740) 387-2027
Other practice location 1
615 Sunbury Rd
Delaware, OH 43015-8657
Phone (740) 363-1834
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 |
|---|---|---|---|
| E.2303278 | OH | MD | Professional Counselor |
| C.1901678-TRNE | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Ward Counseling Group LLC | Professional | Current | Accepting new patients |
Locations
1713 Marion Waldo Rd
Marion, OH 43302
Phone (740) 387-2027
Organizations & group practices 1
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.
-
- Professional Counselor
- Marion, OH
- NPI 1376848093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675468800000",
"number": "1982264263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027427",
"telephone_number": "740-387-2027",
"fax_number": "740-382-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027427",
"telephone_number": "740-387-2027"
}
],
"practiceLocations": [
{
"address_1": "615 Sunbury Rd",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430158657",
"country_code": "US",
"telephone_number": "740-363-1834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2023-02-04",
"certification_date": "2023-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "C.1901678-TRNE",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2303278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.