FREDERICK PEACH – Professional Counselor, NPI 1851067953

FREDERICK PEACH is a healthcare provider. based in Goochland, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 0701010506 (VA). The NPI Number for FREDERICK PEACH is 1851067953

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK PEACH
NPI
1851067953
Phone
(804) 556-5400
Address
PO BOX 189
Enumeration Date
18 August 2021
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045565400
Graduation Year
2014 (12 years ago)
PAC ID
5991157265
Group Practice PAC ID
5193812501
Professional Enrollment ID
I20240123001267
Address ID
VA230633202GO3058XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for FREDERICK PEACH

  • PO BOX 189

    GOOCHLAND, VA 230630189

    Phone: (804) 556-5400

    Fax: (804) 556-5403

    Type: Mailing

  • 3058 RIVER RD W

    GOOCHLAND, VA 230633202

    Phone: (804) 556-5400

    Fax: (804) 556-5403

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123001267IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193812501View full group profile
NameSpecialtyState
-VA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA
Psychiatry, Addiction MedicineVA
Mental Health CounselorVA
-VA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Is FREDERICK PEACH listed with a National Provider Identifier?
Yes — FREDERICK PEACH has NPI 1851067953 on file in the registry.
Is there an active status for FREDERICK PEACH?
For scheduling context, FREDERICK PEACH is shown as active in the registry.
What clinical focus is listed for FREDERICK PEACH?
At a glance, FREDERICK PEACH is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with FREDERICK PEACH?
Directory geography for FREDERICK PEACH centers on Goochland, Virginia.
Does FREDERICK PEACH accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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