Nancy June Petersen, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20687 Issued in SD

Practice address

1419 Main St
Torrington, WY 82240-3340

Phone

(307) 532-4197

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• St. Joseph'S Children'S Home

  • Psychiatric Residential Treatment Facility
  • Torrington, WY
  • NPI 1376688580
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1568815074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 E G ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402518",
            "telephone_number": "308-637-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MAIN ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403340",
            "telephone_number": "307-532-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 S. Maple St.",
            "address_purpose": "LOCATION",
            "city": "Lusk",
            "state": "WY",
            "postal_code": "82225",
            "country_code": "US",
            "telephone_number": "605-200-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "NANCY",
        "middle_name": "JUNE",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "1579",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "20687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF EXAMINERS FOR COUNSELORS & MARRIAGE & FAMILY THERAPISTS",
            "identifier": "LPC20687",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MENTAL HEALTH PROFESSIONS LICENSING BOARD",
            "identifier": "1579",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Patterson
• Joseph Patterson, PPC
• Richard L Patterson Jr., PHD
• Brooke L Paules
• Peak Wellness Center, Inc.
• Nathan Peterson
• Joan Marie Pieper, B.S.
• Timothy J Pieper, D.D.S., M.A.G.D.
• Jay T Pierce, DPT
• Briah R Player

• Professional Counselor in Torrington, WY
• Providers in Torrington, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.