Sabrina Jeanne Peterson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5652 Issued in TN

Practice address

9301 Park West Blvd Ste B5
Knoxville, TN 37923-4300

Phone

(512) 636-9560

NPI assigned

Sep 13, 2021

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Therapy Center

  • Marriage & Family Therapist
  • Knoxville, TN
  • NPI 1699584797

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1659041507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 PARK WEST BLVD STE B5",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234300",
            "telephone_number": "512-636-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 PARK WEST BLVD STE B5",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234300",
            "telephone_number": "512-636-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Cooperative Way Ste 238",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786268210",
            "country_code": "US",
            "telephone_number": "512-636-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SABRINA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5652",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PROFESSIONAL COUNSELORS",
            "identifier": "80922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Peterson, MSN, APRN, FNP-C
• Katherine Peterson
• Matthew Peterson, B.A.
• Paul Carl Peterson, MD
• Rachel Peterson, LCSW
• Susan Morgan Peterson, LPN
• Regina R Pethel, CRNA
• Ayrias Petitt
• Brenda Petitt, RBT
• Elanor Petree

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.