Healthcare Provider Details
I. General information
NPI: 1174284319
Provider Name (Legal Business Name): STEPHANIE PETERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/09/2022
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7661 MCLAUGHLIN RD # 312
FALCON CO
80831-4727
US
IV. Provider business mailing address
7661 MCLAUGHLIN RD # 312
FALCON CO
80831-4727
US
V. Phone/Fax
- Phone: 412-592-3937
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0017903 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 15268 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: