Carrie Peterson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3200 W Highland Blvd
Milwaukee, WI 53208

Phone

(414) 342-4560

Fax

(414) 342-5326

NPI assigned

Sep 15, 2014

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Iris Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waupaca, WI
  • NPI 1588267330
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1366843963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE STE 101",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-420-9088",
            "fax_number": "262-458-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W HIGHLAND BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53208",
            "telephone_number": "414-342-4560",
            "fax_number": "414-342-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 W Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083252",
            "country_code": "US",
            "telephone_number": "414-342-4560",
            "fax_number": "414-342-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey J Peterson, APNP
• Boyd M Peterson, DC
• Bradley A Peterson, M.D.
• Brian Lee Peterson, M.D.
• Carly Peterson, PHD, LP
• Carrie Yvonne Peterson, MD
• Chad Michael Peterson
• Daisy Peterson, PHARMD
• Danielle Bezilla Peterson, MD
• Erika L Peterson, M.D.

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.