Rachael Peterson, MS LPC LADC CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1394 Issued in MN

Practice address

570 Bavaria LN
Chaska, MN 55318-4597

Phone

(608) 332-3490

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Peterson Counseling and Consulting LLC

  • Professional Counselor
  • Maple Grove, MN
  • NPI 1073987947
  Authorized official Same address or phone

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1285008011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860061",
            "telephone_number": "608-332-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BAVARIA LN",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184597",
            "telephone_number": "608-332-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RACHAEL",
        "credential": "MS LPC LADC CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Pena, DPT
• People Incorporated
• Raquel Pereira, R.D.
• Elizabeth Peterson
• Nicole Peterson, DNP, APRN, FNP-C
• Richard Todd Peterson, M.D.
• Tabitha Peterson, PHARM.D.
• Genevieve Petricka
• Jennifer R Petron, MA
• Joshua James Pfister, OD

• Mental Health Counselor in Chaska, MN
• Providers in Chaska, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.