Individual provider Active NPI

Cydney M Peterson

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1568359495
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8364-226 Issued in WI
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

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Y004573OtherWIDEPARTMENT 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

LicenseStateTypeSpecialty
8364-226WIMDMental Health Counselor
24-881WIMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youphoria3, LLC Art Therapist CurrentSince Jun 29, 2025 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.

Verify at the official NPI Registry.