DAVID W PEACE (BS) – Professional Counselor, NPI 1679795124

DAVID W PEACE (BS) is a healthcare provider. based in Vinita, Oklahoma. specializing in Professional Counselor. They hold the professional credentials BS. They hold a License No. 4915 (OK). The NPI Number for DAVID W PEACE (BS) is 1679795124

Main info

Male
Sole Proprietor
Name
DAVID W PEACE (BS)
NPI
1679795124
Phone
(918) 323-0777
Address
1104 W DELAWARE AVE
Enumeration Date
3 May 2007
Last Update Date
12 November 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID W PEACE (BS)

  • West Delaware Avenue, Vinita, Craig County, Oklahoma, 74301, United States

    VINITA, OK 743013922

    Phone: (918) 323-0777

    Mailing address matches the actual address.

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: 2024-01-29

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
I20240129000776IMental Health CounselorOKTBD

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 74301)

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Reviews

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Frequently asked questions

What NPI should I save for DAVID W PEACE (BS)?
Save NPI 1679795124 if you need a stable reference for DAVID W PEACE (BS).
Is DAVID W PEACE (BS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DAVID W PEACE (BS) work in?
You can think of DAVID W PEACE (BS) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for DAVID W PEACE (BS)?
We surface Vinita, Oklahoma for DAVID W PEACE (BS) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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