Victoria Leigh Petersen, CACD-R, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

310 NW 5TH St Ste 101
Corvallis, OR 97330-4849

Phone

(541) 286-4010

Fax

(541) 286-4011

NPI assigned

Jun 14, 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

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.

• Acme Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Corvallis, OR
  • NPI 1932492212
  NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1538902853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304849",
            "telephone_number": "541-286-4010",
            "fax_number": "541-286-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304849",
            "telephone_number": "541-286-4010",
            "fax_number": "541-286-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "VICTORIA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CACD-R, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Peters
• Carly Peterschmidt, DMD
• Pamela Michelle Peterschmidt, PT DPT
• Devin R Petersen, PHD
• Joyelle Lynn Petersen
• Benjamin David Peterson
• Janet P Peterson, DMD
• Janice Kathleen Peterson, DO
• Walter Don Peterson, DC
• Judy Luong Pham

• Addiction (Substance Use Disorder) Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.