Individual provider Active NPI

Cheryl L Peterson, LPCC

  • Professional Counselor
  • Marion, OH
National Provider Identifier
1982264263
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303278 Issued in OH
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

Updated by the provider on Feb 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
E.2303278OHMDProfessional Counselor
C.1901678-TRNEOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Ward Counseling Group LLC Professional CurrentSince Apr 30, 2023 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.

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.

Verify at the official NPI Registry.