Alexandria Grayce Petersen, MA, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451024099 Issued in MI

Practice address

675 E Big Beaver Rd Ste 207
Troy, MI 48083-1428

Phone

(248) 677-1421

NPI assigned

Jan 25, 2025

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1720890726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WINDEMERE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732618",
            "telephone_number": "248-310-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BIG BEAVER RD STE 207",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831428",
            "telephone_number": "248-677-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ALEXANDRIA",
        "middle_name": "GRAYCE",
        "credential": "MA, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Persaud, PA-C
• Tristan Renee Personett
• Perspectives of Troy, P.C.
• Perspectives of Troy, PC
• Jason N Peter, D.O.
• Latoya Peterson, RN BSN
• Sarah Petlicki, PT, DPT
• Michelle A Petropoulos, PA
• Christopher Michael Petros, PTA
• Waseem Ghanim Petros, M.D.

• Mental Health Counselor in Troy, MI
• Providers in Troy, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.