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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CYNTHIA LEE PETERS PHD
NPI 1548259658
Counselor - Addiction (Substance Use Disorder) in Oconomowoc, WI

Active since October 20, 2005PECOS Enrolled
416 W SOUTH ST, OCONOMOWOC, WI 53066(262) 567-7673(262) 567-3097 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Cynthia Lee Peters Phd NPPES

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

CYNTHIA LEE PETERS PHD (NPI 1548259658) is an individual addiction (substance use disorder) provider in Oconomowoc, Wisconsin and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548259658
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCYNTHIA LEE PETERSCredential: PHD
Location Address416 W SOUTH STOconomowoc, WI 53066-2755
Mailing Address416 W South StOconomowoc, WI 53066-2755 · (262) 567-7673 · Fax (262) 567-3097
Phone(262) 567-7673
Fax(262) 567-3097
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1548259658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPsychologistTaxonomy 103T00000X
416 W SOUTH ST, Oconomowoc, WI 53066
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Other Names 1

Former Name (1)Cynthia Lee Destiche

Other Identifiers 1

Medicaid39343100WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Lee Peters Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
36 services11 patients

Other Providers at the Same Location NPPES 2

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

SOUTH STREET CLINIC LLC
Psychologist (Clinical)
416 W SOUTH ST
OCONOMOWOC, WI 53066
Waukesha County (262) 567-7673
MS. MAEJEANNE FANCHER LCSW
Social Worker
416 W SOUTH ST
OCONOMOWOC, WI 53066
Waukesha County (262) 567-7673

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 Cynthia Peters's NPI number?

The NPI number for Cynthia Peters is 1548259658. It was assigned to this individual provider in the NPPES registry on October 20, 2005. The provider is also known as Cynthia Lee Destiche.

Where is Cynthia Peters located?

Cynthia Peters practices at 416 W South St, Oconomowoc, WI 53066. The listed phone number is (262) 567-7673.

What is Cynthia Peters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Cynthia Peters enrolled in Medicare?

Yes. Cynthia Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Peters was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.