Peregrine Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEREGRINE PSYCHOTHERAPY

Practice address

504 N 17TH Ave E
Duluth, MN 55812-1240

Phone

(608) 213-3280

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen McCartyNPI 1841071677

Title

Clinical Social Worker

Phone

(608) 213-3280

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen McCarty

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1841071677
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1336981125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N 17TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121240",
            "telephone_number": "608-213-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N 17TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121240",
            "telephone_number": "608-213-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "608-213-3280"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidy L. Peloquin, CCC-SLP
• Ahna L Pelto, LICSW
• Matthew Grant Penning, M.D.
• John William Pepelnjak III, D.C.
• Brandon S Percival, APRN,CRNA
• Kenrea Johanne Perell, PHARMD
• Anna V Perelshteyn, M.D.
• Gina Perfetti, LPCC
• Franco Peric, PSY.D.
• Pamella Perich

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, 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 Jun 11, 2024; 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.