Misty Jo Pehan, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3322 Broadway
Everett, WA 98201-4425

Phone

(425) 349-6834

NPI assigned

Aug 24, 2006

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

Bachelor of Arts

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497862734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 5TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085805",
            "telephone_number": "425-319-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014425",
            "telephone_number": "425-349-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEHAN",
        "first_name": "MISTY",
        "middle_name": "JO",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tealson Pedepeyrau
• Teresa Pederson-Tuley, RN
• Donald Pederson
• Liana Jill Peeples
• Donald Leland Peet Jr.
• Ivko Pejovic
• Peter M Pellegrini, D.D.S., M.S.
• Amanda Pelser, LMHC
• Corinne Peltier, MSED., ATC, LAT
• Dee Pender, BS,CDP,RC

• Mental Health Counselor in Everett, WA
• Providers in Everett, 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 Jul 21, 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.