PATRICE PEGUES (NPI# 1770059826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770059826 |
| Entity Type | Individual |
| Full Name | PATRICE PEGUES |
| Practice Address |
5816 Creedmoor Rd Ste 104 Raleigh NC 27612-2310 |
| Practice Telephone | 9196654673 |
| Practice Fax Number | 9198828348 |
| Mailing Telephone | 9196654673 |
| Mailing Fax Number | 9198828348 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-262921 | NC | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5816 CREEDMOOR RD STE 104 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938599 | Jessica R Soler | Counselor | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2014-10-29 |
| 1447850193 | Nora C Nicholson | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-10-30 |
| 1346840097 | Monique Mccollum | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-10-30 |
| 1841802899 | Mikayla Wendelin | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-08-20 |
| 1295347250 | Matthew Barry | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-08-20 |
| 1649898115 | Kimberly Cornish | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-07-10 |
| 1629690011 | Clayton Henry Ashton Moe | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-05-08 |
| 1184255697 | Kristi Lynn Easterday | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-02-03 |
| 1952940363 | Kimberly Janeen Lee | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-01-02 |
| 1669010054 | Meghan K Vyatkova | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1669084406 | Battle Mental Health, Pllc | Counselor | 8311 Brier Creek Pkwy Ste 105-167, Raleigh, NC 27617-7328 | 2020-08-22 |
| 1093327561 | Danielle Curley | Counselor | 11030 Cayden Trl Apt 3h, Raleigh, NC 27614-7393 | 2020-08-17 |
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1578109443 | Melissa Lancaster Mccurry | Counselor | 12201 Lockhart Ln, Raleigh, NC 27614-9406 | 2019-11-26 |
| 1215582432 | Emily Trapp | Counselor | 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 | 2019-08-05 |
| 1841858875 | Barry Ray Wallace Jr. | Counselor | 2101 Garner Rd #107, Raleigh, NC 27610-3790 | 2019-06-04 |
| 1689130445 | Adewumi Gabriel Ojo | Counselor | 3204 Cotton Grove Run, Raleigh, NC 27610-6264 | 2019-02-18 |
| 1306310321 | Nakima Mechelle Morrison | Counselor | 5213 Chasteal Trl, Raleigh, NC 27610-6606 | 2019-01-12 |
| 1609347368 | Bailey's Innovation Group | Counselor | 4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800 | 2018-12-06 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.