Individual provider Active NPI

Emily Ann Peterson, MBA, MS-CMHC

  • Student in an Organized Health Care Education/Training Program
  • Tacoma, WA
National Provider Identifier
1205712353
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.