Active NPI
Cydney M Peterson
- Mental Health Counselor
- Eau Claire, WI
National Provider Identifier
1568359495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8364-226
- Practice address
- 800 Wisconsin St BLDG D02
Eau Claire, WI 54703-3588 - Phone
- (715) 529-0980
- NPI assigned
- Jun 23, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 24-881 | WI | |
| Mental Health Counselor | 101YM0800X | 8364-226 | WI | Primary |
Addresses
Primary practice location
800 Wisconsin St BLDG D02
Eau Claire, WI 54703-3588
Mailing address
E1750 Spruce Rd
Eleva, WI 54738-9074
Phone (715) 529-0980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y004573 | Other | WI | DEPARTMENT OF FINANCIAL INSTITUTIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8364-226 | WI | MD | Mental Health Counselor |
| 24-881 | WI | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youphoria3, LLC | Art Therapist | Current | Accepting new patients |
Locations
800 Wisconsin St
Bldg D2
Eau Claire, WI 54703
Phone (715) 514-3608
Organizations & group practices 1
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": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1568359495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E1750 SPRUCE RD",
"city": "ELEVA",
"state": "WI",
"postal_code": "547389074",
"telephone_number": "715-529-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WISCONSIN ST BLDG D02",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033588",
"telephone_number": "715-529-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CYDNEY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "WI",
"license": "24-881",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8364-226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL INSTITUTIONS",
"identifier": "Y004573",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.