Jaimi Peterson Counseling LLC

Key facts

NPI

1104602952

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

JAIMI PETERSON COUNSELING LLC

Practice address

1266 44TH Ave
Sweet Home, OR 97386-1235

Phone

(541) 801-7596

NPI assigned

Sep 7, 2023

Organization subpart

No

Authorized official

Name

Prof. Jaimi Peterson, MA NPI 1821645227

Title

Licensed Professional Counselor

Phone

(541) 801-7596

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimi L Peterson, MA Mental Health Counselor · Sweet Home, OR · NPI 1821645227
  NPD Authorized official MENTAL HEALTH

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2024.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1104602952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973860521",
            "telephone_number": "541-801-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 44TH AVE",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861235",
            "telephone_number": "541-801-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIMI PETERSON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JAIMI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "541-801-7596",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Sweet Home, OR · Mental Health Counselor in Oregon