Nathan Y Peterson, L.M.H.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4378 Issued in MA

Practice address

172 Lincoln St
Worcester, MA 01605-3750

Phone

(508) 770-0511

Fax

(508) 770-0875

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528134848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WHITINS RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902728",
            "telephone_number": "508-770-0511",
            "fax_number": "508-770-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053750",
            "telephone_number": "508-770-0511",
            "fax_number": "508-770-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NATHAN",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "4378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "MA4378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Peterson
• Karin E Peterson, LICSW
• Kenneth S Peterson, NP
• Kristen Peterson
• Laura Lynne Peterson, MD
• Noah Marek Peterson, PSYD
• Jean Sergot Petion Sr., M.ED
• Stephanie Petkiewicz, MD PHD
• Victoria Petrides
• Carlo John Petrillo, M.D.

• Professional Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.