Jessica D Peterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2022001054 Issued in MO

Practice address

3005A Chinaberry Dr
Columbia, MO 65201-3550

Phone

(573) 874-8818

Fax

(573) 874-8818

NPI assigned

May 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling Associates

  • Counselor
  • Columbia, MO
  • NPI 1588180293
  NPD
• Melissa M Williams Licensed Counselor

  • Professional Counselor
  • Columbia, MO
  • NPI 1346671690
  NPD (past)

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

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1659010692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 MACE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017659",
            "telephone_number": "573-823-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005A CHINABERRY DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013550",
            "telephone_number": "573-874-8818",
            "fax_number": "573-874-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022001054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jessiep031@gmail.com",
            "affiliation": "N",
            "address_1": "401 N Keene St",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652016625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley Steinar Peterson, M.D.
• Brenda Peterson
• Cosha Ann Peterson, PH.D., LPC
• Heather A Peterson, M.S.,CCC-SLP
• James Dean Peterson, C.R.N.A.
• Arthur R. Petrie, M.D.
• Carisa Petris, M.D.
• Joshua Ryan Petro, DO
• Julianne Marie Petro, DO
• Jessica L Peuterbaugh, DNP. FNP

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.