Abigayle Marie Peterson, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61579678 Issued in WA

Practice address

1601 R Ave
Anacortes, WA 98221-2276

Phone

(360) 299-4000

NPI assigned

Aug 19, 2024

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

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 and National Provider Directory roles.

• Northwest Education Service District 189

  • Local Education Agency (LEA)
  • Anacortes, WA
  • NPI 1295964658
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1487486304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WETMORE AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012833",
            "telephone_number": "253-571-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 R AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212276",
            "telephone_number": "360-299-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ABIGAYLE",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61579678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marykay Pasnick, MD
• Danah Marie Peace-Laws, LICSW
• Janelle Peranteau, FNP
• Eric Perkins
• Personalized Mobile Medical LLC
• Jon T Peterson, DO
• Amber Nicosia Phillips, RD
• Ronald A Pinson, DMD
• PNW Clinic
• PNW Home for Life PLLC

• Mental Health Counselor in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.