Peter Joseph Dorsen

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302297 Issued in MN

Practice address

14377 Chestnut Drive
Eden Prairie, MN 55347

Phone

(612) 226-3106

NPI assigned

Sep 15, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013436591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 CHESTNUT DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471672",
            "telephone_number": "612-226-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 CHESTNUT DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55347",
            "telephone_number": "612-226-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEN",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad R. Dockter, OD
• Luis Joan Dominguez Alpizar
• Cynthia Lou Doms
• Jessica Donaldson, D.C.
• Rebecca Donaldson
• Manoj Doss, D.O.
• Kristine L Doucette, PSY.D., L.P.
• Jeffrey Douglas, DPT, ATC
• Michael Lloyd Doxey, M.D.
• Dr. Olinda Floro PA

• All providers in Eden Prairie, MN
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.