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Active NPI 1396237186 Individual Practitioner Male Practitioner

Dr. Peter Stephens , PsyD, LPCC

Counselor - Professional • Hemet, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Stephens, PsyD, LPCC is a registered healthcare professional specializing in Counselor - Professional in Hemet, CA. Practice services are available at 25873 HEMET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25873 Hemet St

Hemet, CA 925445026

Telephone 9517656955
Associated Practice Facility / Clinic
🏢 California Family Life Center Facility NPI 1598289134

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Hemet, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Hemet, CA (4040 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CA 11029

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Of Behavioral Sciences
LPCC11029 (CA)

Secondary Practice Locations

35334 Mountain View St

Yucaipa, CA 923994809

Phone: 9516409184

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Robert Bermudez , MA LMFT

Marriage & Family Therapist

NPI 1023137106

MALMFT

Isabel Garnica

Student in an Organized Health Care Education/Training Program

NPI 1356229553
Jean Agregado , REGISTERED NURSE

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1477270668

REGISTEREDNURSE

Doneisha Jenkins

Marriage & Family Therapist

NPI 1588276448
Patricia Gonzalez

Marriage & Family Therapist

NPI 1619520145
Gabriela White

Counselor - Mental Health

NPI 1790384634

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location October 27, 2023

Registered at 25873 HEMET ST, HEMET, CA 925445026 (Tel: 9517656955)

👤
Provider Name / Credentials Updated October 27, 2023

Recorded as PETER STEPHENS, PSYD, LPCC

📍
Updated Practice Location March 09, 2022

Registered at 35334 MOUNTAIN VIEW ST, YUCAIPA, CA 923994809 (Tel: 9516409184)

📍
Updated Business Mailing Address March 09, 2022

Registered at 35334 MOUNTAIN VIEW ST, YUCAIPA, CA 923994809 (Tel: 9516409184)

📍
Updated Practice Location February 05, 2020

Registered at 850 E FOOTHILL BLVD, RIALTO, CA 923765230 (Tel: 0942194799)

📍
Updated Business Mailing Address February 05, 2020

Registered at 850 E FOOTHILL BLVD, RIALTO, CA 923765230 (Tel: 9094219479)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2020

Counselor

📍
Updated Practice Location September 20, 2019

Registered at 14700 MANZANITA PARK RD, BEAUMONT, CA 92223 (Tel: 9518453155)

📍
Updated Practice Location August 06, 2019

Registered at 340 HWY 138, CRESTLINE, CA 92325 (Tel: 9093363330)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Counselor (License #6738 in CA)

NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 101 E REDLANDS BLVD, REDLANDS, CA 923734775 (Tel: 9097931078)

📍
Updated Business Mailing Address June 06, 2018

Registered at 35334 MOUNTAIN VIEW ST, YUCAIPA, CA 923994809 (Tel: 9516409184)

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as PETER STEPHENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396237186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: October 27, 2023
Sole Proprietor: No

Mailing Address

35334 Mountain View St

Yucaipa, CA 923994809

Phone: 9516409184

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.