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DOUGLAS ANDREW PECK LMHC
NPI 1851559587
Counselor - Mental Health in Mamaroneck, NY

Active since May 29, 2008Opted out of Medicare · through Sep 1, 2027
1600 HARRISON AVE STE 208D, MAMARONECK, NY 10543(914) 500-9892(914) 828-0072 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Andrew Peck Lmhc NPPES

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

DOUGLAS ANDREW PECK LMHC (NPI 1851559587) is an individual mental health provider in Mamaroneck, New York, licensed in New York (006431) and active in the NPI registry since May 2008. He has opted out of Medicare through September 1, 2027.

NPPES Registry Identity

NPI1851559587
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOUGLAS ANDREW PECKCredential: LMHC
Location Address1600 HARRISON AVE STE 208DMamaroneck, NY 10543-3150
Mailing Address1600 Harrison Ave Ste 208dMamaroneck, NY 10543-3150 · (914) 500-9892 · Fax (914) 828-0072
Phone(914) 500-9892
Fax(914) 828-0072
Sole ProprietorYes
Enumeration DateMay 29, 2008
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1851559587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 006431
1600 HARRISON AVE STE 208D, Mamaroneck, NY 10543
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Douglas Andrew Peck Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2025 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2025
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Douglas Peck's NPI number?

The NPI number for Douglas Peck is 1851559587. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Douglas Peck located?

Douglas Peck practices at 1600 Harrison Ave Ste 208D, Mamaroneck, NY 10543. The listed phone number is (914) 500-9892.

What is Douglas Peck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Douglas Peck enrolled in Medicare?

No. Douglas Peck has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Douglas Peck was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.