Active NPI
Emily Ann Peterson, MBA, MS-CMHC
- Student in an Organized Health Care Education/Training Program
- Tacoma, WA
National Provider Identifier
1205712353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 902 Market St
Tacoma, WA 98402-3609 - Phone
- (253) 540-5358
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
902 Market St
Tacoma, WA 98402-3609
Mailing address
902 Market St
Tacoma, WA 98402-3609
Phone (253) 540-5358
Other names 1
- Emily Ann Peterson
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://jupiterpines.com/contact | Other | Jupiter Pines Counseling LLC |
| Other URL | https://jupiterpines.com/emily-ann-peterson | Other | Jupiter Pines Counseling LLC |
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
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Pines Counseling LLC | Current | Accepting new patients |
Locations
902 Market St
Tacoma, WA 98402
Phone (253) 540-5358
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1205712353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 MARKET ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023609",
"telephone_number": "253-540-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 MARKET ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023609",
"telephone_number": "253-540-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "EMILY ANN",
"credential": "MBA, MS-CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://jupiterpines.com/contact",
"affiliation": "Y",
"endpointDescription": "contact page on website",
"affiliationName": "Jupiter Pines Counseling LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "HIPAA-compliant collaborative care communication",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "contact form and link to encrypted email",
"address_1": "902 Market St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984023609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://jupiterpines.com/emily-ann-peterson",
"affiliation": "Y",
"endpointDescription": "website",
"affiliationName": "Jupiter Pines Counseling LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "informational",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "professional bio",
"address_1": "902 Market St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984023609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMILY",
"last_name": "PETERSON",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.