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

Mrs. Peresia Tarona Commodore, LPC

Individual provider Mental Health Counselor · NPI 1578999504

Mrs. Peresia Tarona Commodore, LPC is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2011, 15 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459
Phone: (910) 339-1928
Fax: (910) 339-4650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 117 Wortham St, Wadesboro, NC 28170-2423 — (704) 994-2601

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10174 (NC)

Record details

NPI number1578999504
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 23, 2013
Last updated in NPPESAugust 12, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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