Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Komekia Peterson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730062571

Komekia Peterson is a Mental Health Counselor in Rochester, New York. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2025
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

993 Stowell Dr
Rochester, NY 14616-1849
Phone: (585) 698-4549
Fax: (585) 698-4549
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 — (718) 504-9256

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 008405 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 34381 (NY)

Record details

NPI number1730062571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Rochester