MEDICARE: MS. ALICIA IVANA PETON M.S., LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10370	NC

General Provider Information

NPI Number	:	1194041962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICIA IVANA PETON M.S., LCMHC

Provider Business Mailing Address
First Line	:	10 RACQUET CT
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27332-0128
Country	:	US
Telephone Number	:	919-480-0101
Fax Number	:	919-205-9919

Provider Business Practice Location Address
First Line	:	7621 PURFOY RD STE 210
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-6985
Country	:	US
Telephone Number	:	919-523-2100
Fax Number	:	919-205-9919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	10/12/2025

Similar Medicare Providers

1598363780 — PHOENIX PARTNERS NC
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 833-749-4584
Practice Fax: 919-205-9919

1205523131 — DR. LANA SAMPSON MS, PH.D.
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 919-637-6867
Practice Fax: 919-205-9919

1669283388 — ASHLEY MILLER LCMHCA
Practice Location Address:

7621 PURFOY RD STE 210
FUQUAY VARINA, NC
27526-6985

Practice Phone: 607-422-4770
Practice Fax: 919-205-9915

1447007570 — JENNIFER DIANNE CONRAD
Practice Location Address:

7621 PURFOY RD STE 105B
FUQUAY VARINA, NC
27526-6985

Practice Phone: 833-749-4584
Practice Fax:

1356181994 — JESSE PARRISH
Practice Location Address:

7621 PURFOY RD
FUQUAY VARINA, NC
27526-6985

Practice Phone: 919-355-9792
Practice Fax:

1184459158 — NICOLE SARGENT LCSWA
Practice Location Address:

7621 PURFOY RD STE 201
FUQUAY VARINA, NC
27526-6985

Practice Phone: 919-355-9792
Practice Fax: 919-551-7518

Directions to “ MS. ALICIA IVANA PETON M.S., LCMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.