Jasmine L Peterson, MA, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12 Fee Fee Rd
Maryland Heights, MO 63043-2729

Phone

(314) 368-2409

Fax

(314) 442-4139

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jasmine Peterson Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Changes Therapeutics Services

  • Group Psychotherapy Psychologist
  • Maryland Heights, MO
  • NPI 1417510934
  NPD
• Alpine'S Empowerment Agency, PLLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1164964813

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1043093172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 SAPPHIRE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661889",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432729",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10828 Saint Charles Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Ann",
            "state": "MO",
            "postal_code": "630741508",
            "country_code": "US",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JASMINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.changestherapeutics.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Company information",
            "address_1": "12 Fee Fee Rd",
            "city": "Maryland Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630432729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "PETERSON",
            "prefix": "MS.",
            "credential": "MA, PLPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Enex J Polynice, D.C.
• Raymond Poon, LPC

• Mental Health Counselor in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.