Peresia Commodore, LPC
NPI 1578999504 · Mental Health Counselor · Fayetteville, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peresia Commodore, LPC is a Mental Health Counselor provider in Fayetteville, NC (NPI 1578999504).
Provider details
- NPI number
- 1578999504
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 10174 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 117 Wortham StWadesboro, NC 28170-2423Phone: (704) 994-2601Fax: (704) 994-2653
Registry dates
- Enumerated
- 2013-09-23
- Last updated
- 2019-08-12
Frequently asked questions
- What is Peresia Commodore's NPI number?
- Peresia Commodore's National Provider Identifier (NPI) is 1578999504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peresia Commodore's specialty?
- Peresia Commodore is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Peresia Commodore located?
- Peresia Commodore's practice location on file with NPPES is 2543 Ravenhill Dr Ste B, Fayetteville, NC 28303-5459.
- What is Peresia Commodore's phone number?
- The practice phone number listed in the NPPES registry for Peresia Commodore is (910) 339-1928.
- Does Peresia Commodore accept Medicare?
- Peresia Commodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peresia Commodore's NPI active?
- Yes — Peresia Commodore's NPI (1578999504) is active in the NPPES registry as of the last update on 2019-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.