GLENNIS E PETERS LPC
NPI 1952426736
Counselor - Professional in Scott Depot, WV

Q: What is Glennis Peters's NPI number?

The NPI number for Glennis Peters is 1952426736. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Glennis Peters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glennis Peters was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 20, 2007PECOS Enrolled

97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560(304) 757-6999(304) 757-3252 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2020, Oct 15, 2019 (2 updates tracked since 2019).

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About Glennis E Peters Lpc NPPES

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

GLENNIS E PETERS LPC (NPI 1952426736) is an individual professional provider in Scott Depot, West Virginia, licensed in West Virginia (1691) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1952426736

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameGLENNIS E PETERSCredential: LPC

Location Address97 GREAT TEAYS BLVD STE 6Scott Depot, WV 25560

Mailing Address97 Great Teays Blvd Ste 6Scott Depot, WV 25560-9816 · (304) 757-6999 · Fax (304) 201-5019

Phone(304) 757-6999

Fax(304) 757-3252

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 20, 2007

Last NPPES UpdateJune 17, 20202 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1952426736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WV · 1691

Also ListedCounselorTaxonomy 101Y00000X · License 1691 (WV)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 218606 (WV)

97 GREAT TEAYS BLVD STE 6, Scott Depot, WV 25560

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Other Identifiers 3

Medicaid1952426736WV

Other1691WV · Lpc

Other218606WV · Nbcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glennis E Peters Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153613286

PECOS Enrollment IDI20241209001465

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.

Other Providers at the Same Location NPPES 16

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

MRS. HOLLY MICHELLE JORDAN MSW, LICSW, AADC

Social Worker (Clinical)