Brandon N Peterson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2026-0602 Issued in NM

Practice address

39 Willow Back Rd
Santa Fe, NM 87508-1484

Phone

(973) 572-7961

NPI assigned

Jul 17, 2026

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1538089628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WILLOW BACK RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081484",
            "telephone_number": "973-572-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WILLOW BACK RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081484",
            "telephone_number": "973-572-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRANDON",
        "middle_name": "N",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2026-0602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akila Pervis
• Peter J. Tafoya DDS LLC
• Elizabeth Peters, PHARMD
• Meira Petersen, LPCC
• Sarah Rose Petersen, D.O.M.
• Kaya Florina Peterson, AUD
• Lauren Peterson
• Thomas R. Peterson, PH.D
• Guy M Petit-Clerc, BMS
• Elena Maria Petre-Grigorescu, LCSW

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.