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

Mr. Peter N. Haller, MS, LCPC

Individual provider Mental Health Counselor · NPI 1164661716

Mr. Peter N. Haller, MS, LCPC is a Mental Health Counselor in Carbondale, Illinois. Graduated from Southern Illinois University School of Medicine in 2000, 26 years ago. Practices with Centerstone of Illinois Inc, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
26
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

2311 S Illinois Ave
Carbondale, IL 62903-5912
Phone: (618) 457-6703
Fax: (618) 549-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.006751 (IL)

Record details

NPI number1164661716
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCPC
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Centerstone Of Illinois Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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