Jeff Peterson, L.P.C., L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

30907 Issued in SD

Practice address

211 Sioux Point Rd Ste 300
Dakota Dunes, SD 57049-5492

Phone

(605) 215-6695

NPI assigned

Feb 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kansas City Psychotherapy

  • Professional Counselor
  • Kansas City, MO
  • NPI 1164896635
  NPD (past) Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1386069565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SIOUX POINT RD STE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495492",
            "telephone_number": "605-215-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SIOUX POINT RD STE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495492",
            "telephone_number": "605-215-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JEFF",
        "credential": "L.P.C., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "101101",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2448",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "30907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral Surgery Assocates, P.C.
• Allison Ruth Owings, NP-C
• Pediatric Dentistry PC
• Stephanie Marie Peek
• Michael V Persaud, DO
• Lauren Pfaffle
• Nathan Alexander Phillips, DDS
• Phinit Phisitkul, MD
• Physical Therapy Specialists PC
• Michele Pierce

• Mental Health Counselor in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.