Jessica Peterson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6011 NE Oregon St Ste 212
Portland, OR 97213-4300

Phone

(971) 256-5766

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1538997960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 SE 100TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 NE OREGON ST STE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134300",
            "telephone_number": "971-256-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Belinda Peterson, N.D.
• Jaime Wildman Peterson, M.D.
• Jeanne Yong-Tai Peterson, PHARMD
• Jed Russell Peterson, M.D.
• Jenny Lynn Peterson, RN
• Julie M. Peterson, PMHNP
• Kathryn Peterson
• Katlyn Rene Peterson, OD
• Katy Celeste Peterson
• Kay Diane Peterson, PMHNP

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.