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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20250703003173 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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PC
NPI · 1578999504 · Active
Peresia Commodore Lpc
Mental Health Counselor · Fayetteville, North Carolina
Active
NPI
1578999504
Enrollment ID
I20250703003173
Taxonomy
101YM0800X
Type
Practitioner - Mental Health Counselor

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.