ABBY PETERS MS, LPC,CAADC, NPI 1417126160 — EAST PETERSBURG (PA)

NPI 1417126160

11+ Years Experience Individual

ABBY PETERS MS, LPC,CAADC

02/27/2008
PROVIDER ENUMERATION DATE
05/24/2018
LAST UPDATE DATE
1417126160
NPI NUMBER

About ABBY PETERS

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ABBY PETERS is a provider established in EAST PETERSBURG, PA. The NPI number of ABBY PETERS is 1417126160 and was assigned on 02/27/2008. The practitioners primary taxonomy code is: 101YA0400X .

Mailing address

  • City: LITITZ
  • State: PA
  • Postal code: 175437971
  • Phone: 7173687586
  • Address: 121 SNAVELY MILL RD

Primary Practice Address

  • Region : EAST PETERSBURG, PA
  • NPI : 1417126160
  • Phone : 7174627003
  • Postalcode : 17520
  • Address : 1987 STATE ST

Provider taxonomy - Counselor

  • Taxonomy code: 101YA0400X

The taxonomy is not the primary taxonomy.

Healthcare provider taxonomy #2 - Counselor

  • Taxonomy code: 101YP2500X
  • License number: PC005086
  • License state: PA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • ABBY PETERS MS, LPC,CAADC
  • Address : 1987 STATE ST
  • Region : EAST PETERSBURG, PA
  • NPI : 1417126160
  • Phone : 7174627003
  • Postalcode : 17520

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1987 STATE ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameEAST PETERSBURG
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NamePA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code17520
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7174627003
The telephone number associated with the location address of the provider being identified.
NPI1417126160
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1101YA0400X
Provider Enumeration Date02/27/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/24/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ABBY PETERS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address121 SNAVELY MILL RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLITITZ
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NamePA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code175437971
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7173687586
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1101YA0400X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Counselor
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2101YP2500X
Healthcare Provider Taxonomy 2Counselor
Provider License Number 2PC005086
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2PA
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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