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FREDERICK PEACH
NPI 1851067953
Counselor - Professional in Goochland, VA

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
3058 RIVER RD W, GOOCHLAND, VA 23063(804) 556-5400(804) 556-5403 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Frederick Peach NPPES

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

FREDERICK PEACH (NPI 1851067953) is an individual professional provider in Goochland, Virginia, licensed in Virginia (0701010506) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851067953
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameFREDERICK PEACH
Location Address3058 RIVER RD WGoochland, VA 23063-3202
Mailing AddressPo Box 189Goochland, VA 23063-0189 · (804) 556-5400 · Fax (804) 556-5403
Phone(804) 556-5400
Fax(804) 556-5403
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1851067953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701010506
3058 RIVER RD W, Goochland, VA 23063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frederick Peach is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991157265
PECOS Enrollment IDI20240123001267
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.

Medicare Billing Reassignment

Medicare enrollment records show Frederick Peach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goochland Powhatan Community Services
Same address
Mental Health (Including Community Mental Health Center)
3058 RIVER RD W
Goochland, VA 23063
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
NPI 1467448571 (804) 556-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

GRACE STAPLETON LCSW
Social Worker (Clinical)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
DAVID R DILZER LCSW
Social Worker (Clinical)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
SARAH ELIZABETH WHITE MS
Counselor (Professional)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
TAMMY C ESTEP
Counselor (Addiction (Substance Use Disorder))
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
MICHELLE LYNN SOWARDS LPC
Counselor (Professional)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
EMILY LI
Counselor (Addiction (Substance Use Disorder))
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
RICHARD L BROWN LCSW
Social Worker (Clinical)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400
MS. KELSEY LEIGH GILBERT LCSW
Social Worker (Clinical)
3058 RIVER RD W
GOOCHLAND, VA 23063
Goochland County (804) 556-5400

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 Frederick Peach's NPI number?

The NPI number for Frederick Peach is 1851067953. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Frederick Peach located?

Frederick Peach practices at 3058 River Rd W, Goochland, VA 23063. The listed phone number is (804) 556-5400.

What is Frederick Peach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Frederick Peach enrolled in Medicare?

Yes. Frederick Peach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Frederick Peach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Peach reassigns Medicare benefits to Goochland Powhatan Community Services (Goochland, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frederick Peach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Peach was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.