Individual provider Active NPI

Christine Marie Petersen, CERT. PEER COUNSELOR

  • Counselor
  • Tacoma, WA
National Provider Identifier
1043831258
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
601 136TH St E
Tacoma, WA 98445-1563
Phone
(253) 245-8140
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WA Primary

Addresses

Primary practice location

601 136TH St E
Tacoma, WA 98445-1563

Mailing address

601 136TH St E
Tacoma, WA 98445-1563
Phone (253) 245-8140

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cpetersen@cmhshare.org Comprehensive Mental Health Center of Tacoma-Pierce County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043831258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 136TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984451563",
            "telephone_number": "253-245-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 136TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984451563",
            "telephone_number": "253-245-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "CERT. PEER COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cpetersen@cmhshare.org",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Comprehensive Mental Health Center of Tacoma-Pierce County",
            "address_1": "1201 S Proctor St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.