THOMAS JACOB PEEK LPC NPI 1124784467

NPI Information

NPI: 1124784467
Provider Name: THOMAS JACOB PEEK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 949-9550
Get Directions

Thomas Jacob Peek, LPC is a professional counselor in Grand Rapids, MI. Thomas Jacob Peek, LPC NPI is 1124784467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI
ZIP 49512-076
Phone: (616) 949-9550

The enumeration date for this NPI number is 11/10/2021 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401222326	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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