Peterson Counseling and Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01688 Issued in MN

Legal business name

PETERSON COUNSELING AND CONSULTING LLC

Practice address

10650 County Road 81 Ste 205
Maple Grove, MN 55369-4040

Phone

(608) 332-3490

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Rachael Peterson, MS LPC LADC CCTP

Title

Owner

Phone

(608) 332-3490

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1073987947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 LACY LN",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553862302",
            "telephone_number": "608-332-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81 STE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694040",
            "telephone_number": "608-332-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-332-3490",
        "authorized_official_credential": "MS LPC LADC CCTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304016",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Linn Peters, LPCC
• Petersen Chiropractic Inc.
• Gregory Joseph Petersen, D.C.
• John William Petersen, D.C.
• Stephanie Jean Petersen, PHARM.D.
• Beth K. Peterson, MSW, LICSW
• Colleen Ann Peterson, RN
• Emily Jane Peterson, FNP
• Jennifer Kay Peterson, PT
• Katie Peterson

• Professional Counselor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.