MR. JAMES JERRY PETERSON III BA.
NPI 1265958748
Community/Behavioral Health in Raleigh, NC

Q: What is James Peterson's NPI number?

The NPI number for James Peterson is 1265958748. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Q: What is James Peterson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for James Peterson was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2017

2138 BLACKWOLF RUN LN, RALEIGH, NC 27604(916) 627-5859 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Aug 16, 2017 (2 updates tracked since 2017).

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About Mr. James Jerry Peterson Iii Ba. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES JERRY PETERSON III BA. (NPI 1265958748) is an individual community/behavioral health provider in Raleigh, North Carolina and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1265958748

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameMR. JAMES JERRY PETERSON IIICredential: BA.

Location Address2138 BLACKWOLF RUN LNRaleigh, NC 27604-5411

Mailing Address2138 Blackwolf Run LnRaleigh, NC 27604-5411 · (916) 627-5859

Phone(916) 627-5859

Sole ProprietorYes

Enumeration DateAugust 16, 2017

Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2023

✔ NPI 1265958748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2138 BLACKWOLF RUN LN, Raleigh, NC 27604

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JSPETERSONYOUTHLLC

Community/Behavioral Health

2138 BLACKWOLF RUN LN
RALEIGH, NC 27604

Wake County (916) 627-5859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Peterson's NPI number?

The NPI number for James Peterson is 1265958748. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is James Peterson located?

James Peterson practices at 2138 Blackwolf Run Ln, Raleigh, NC 27604. The listed phone number is (916) 627-5859.

What is James Peterson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for James Peterson was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.