Cheryl Lynn Peterson, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 46514 Issued in CA

Practice address

531 S Washington St
Sonora, CA 95370-5114

Phone

(209) 559-2432

Fax

(209) 559-2432

NPI assigned

Mar 29, 2007

Last updated

Sep 1, 2022By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affinity Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sonora, CA
  • NPI 1295449650
  NPD Authorized official
• Cheryl Peterson Marriage and Family Therapy PC

  • Marriage & Family Therapist
  • Sonora, CA
  • NPI 1952217549
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1205956828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4452",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953701452",
            "telephone_number": "209-559-2432",
            "fax_number": "209-532-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S WASHINGTON ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705114",
            "telephone_number": "209-559-2432",
            "fax_number": "209-559-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S. Shepherd St. #D",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953704817",
            "country_code": "US",
            "telephone_number": "209-559-2432",
            "fax_number": "209-532-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 46514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lincoln Personius, M.D.
• Peter a. Beoris, MD, Inc.
• Alan E. Peters, M.D.
• Christi L Petersen, FNP
• Samuel George Petersen, D.D.S.
• Jill Peterson, OTR/L
• Steven H Peterson, MD
• Daniel B Phillips, M.D.
• Janene R Phillips, RN, FNP
• Leanne Marie Piche, PHARMD APH CDCES

• Marriage & Family Therapist in Sonora, CA
• Providers in Sonora, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.