Lori B Peterson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6454 Issued in OK

Practice address

5100 N Brookline Ave Ste 210
Oklahoma City, OK 73112-3603

Phone

(405) 990-7560

NPI assigned

Sep 24, 2014

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 names 1

• Lori Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1669874400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 NW 44TH ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123603",
            "telephone_number": "405-990-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6418 N Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731169112",
            "country_code": "US",
            "telephone_number": "405-242-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "U/S",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "PETERSON",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jo Elle Grace Peterson, MD
• Kathy Grant Peterson, P.T.
• Kim Peterson, LADC
• Kourtney Peterson
• Lauren Collier Peterson, PT, DPT
• Nicholas Scott Peterson, M.D.
• Reshicka Mone' Peterson
• Sylvester Rakeem Peterson
• Tanisha S Peterson
• Carrie Petesch

• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.