National Provider Identifier
Komekia Peterson
Komekia Peterson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 698-4549.
Profile Overview
- NPI
- 1730062571
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 29, 2025
- Last Updated
- September 10, 2025
Practice Location
- 993 Stowell Dr
- Rochester, NY 14616-1849
Phone: (585) 698-4549
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1730062571
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Komekia
- Mailing Street Address
- 993 Stowell Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-1849
- Mailing Country
- US
- Mailing Phone
- (585) 698-4549
- Mailing Fax
- (585) 698-4549
- Practice Street Address
- 993 Stowell Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-1849
- Practice Country
- US
- Practice Phone
- (585) 698-4549
- Practice Fax
- (585) 698-4549
- Enumeration Date
- July 29, 2025
- Last Updated
- September 10, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)