Diane J. Peterson, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

97-323498-3902 Issued in UT

Practice address

3325 N University Ave
Suite 300
Provo, UT 84604-4465

Phone

(801) 226-3008

NPI assigned

Jan 18, 2007

Sex

Female

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E 4200 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045010",
            "telephone_number": "801-226-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-226-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DIANE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "97-323498-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carli Elizabeth Peterson
• Chrisitne Peterson, NNP
• Clarissa L Peterson, P.A.
• Clint W Peterson, APRN
• David L Peterson, P.A
• Jennifer Griffith Peterson, LMFT
• Joshua Phillip Peterson
• Kirstin Chantell Peterson
• Lee M Peterson, MD
• Maylan Peterson

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.