TELVIN FLOYD PETERSON
NPI 1922886860
Counselor - Professional in Florence, SC

Active since September 21, 2023PECOS Enrolled
150 N DARGAN ST # 101, FLORENCE, SC 29506(704) 904-9428 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 17, 2024, Apr 29, 2024 (2 updates tracked since 2024).

About Telvin Floyd Peterson NPPES

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

TELVIN FLOYD PETERSON (NPI 1922886860) is an individual professional provider in Florence, South Carolina, licensed in South Carolina (9730) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mayesville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922886860
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTELVIN FLOYD PETERSON
Location Address150 N DARGAN ST # 101Florence, SC 29506-2590
Mailing Address150 N Dargan St # 101Florence, SC 29506-2590 · (704) 904-9428
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2023
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1922886860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 9730
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2133 (SC)
150 N DARGAN ST # 101, Florence, SC 29506

Secondary Practice Location 1

Location 1360 Wilson StMayesville, SC 29104-8962 · Phone (704) 904-9428

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Telvin Floyd Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173093465
PECOS Enrollment IDI20260528000760
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 Telvin Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
802 W EVANS ST STE B
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 6 clinicians in this Medicare group

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

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 Telvin Peterson's NPI number?

The NPI number for Telvin Peterson is 1922886860. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Telvin Peterson located?

Telvin Peterson practices at 150 N Dargan St # 101, Florence, SC 29506. The listed phone number is (704) 904-9428.

What is Telvin Peterson's specialty?

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

Is Telvin Peterson enrolled in Medicare?

Yes. Telvin Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Telvin Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Telvin Peterson reassigns Medicare benefits to Blooming In Adversity LLC (Florence, SC). 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 Telvin Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Telvin Peterson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Telvin Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Telvin Peterson was last updated on May 17, 2024. 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.