Individual provider Active NPI

Erin C Peterson, LMFT

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1548569304
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2106 Issued in MN
Practice address
5200 Willson Rd Ste 307
Edina, MN 55424-1344
Phone
(651) 216-7023
Fax
(952) 209-3292
NPI assigned
Mar 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2106 MN Primary

Addresses

Primary practice location

5200 Willson Rd Ste 307
Edina, MN 55424-1344

Mailing address

5200 Willson Rd Ste 307
Edina, MN 55424-1344
Phone (651) 216-7023

Other practice location 1

2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323

Other practice location 2

7400 Metro Blvd Ste 216
Edina, MN 55439-2321
Phone (952) 831-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Peterson, Inc. Marriage & Family Therapist Current Accepting new patients
Cabot Psychological Services, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1548569304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 307",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241344",
            "telephone_number": "651-216-7023",
            "fax_number": "952-209-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 307",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241344",
            "telephone_number": "651-216-7023",
            "fax_number": "952-209-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Como Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081737",
            "country_code": "US",
            "telephone_number": "651-645-5323",
            "fax_number": "651-621-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Metro Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554392321",
            "country_code": "US",
            "telephone_number": "952-831-2000",
            "fax_number": "952-835-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIN",
        "middle_name": "C",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.