Scott Peterson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2359 Issued in MN

Practice address

1880 River Rd
Grand Rapids, MN 55744-4085

Phone

(218) 327-3000

Fax

(218) 327-1871

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1720492655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SCOTT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana L. Pereira, LAMFT
• Performance Chiropractic and Sports Clinic
• Kelsey Margaret Perreault, D.C.
• Richard A Perrott, O.D.
• Emily Joan Peterson
• Pillars of Grand Rapids LLC
• Nicole Pink, APRN,CNP
• Valerie Ann Plackner, RD
• Sydney Ann Plemel, DPT, PT
• Jeremy Clyde Pliscott, PHARMD

• Marriage & Family Therapist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.