Organization Active NPI

Sue Peterson Counseling, PLLC

  • Mental Health Counselor
  • Winthrop, WA
National Provider Identifier
1861153793
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUE PETERSON COUNSELING, PLLC
Practice address
105 Norfolk Rd
Winthrop, WA 98862-4500
Phone
(509) 341-4487
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Susan Peterson, MS, LMHCNPI 1669966446
Title
Owner
Phone
(509) 341-4487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

105 Norfolk Rd
Winthrop, WA 98862-4500

Mailing address

PO Box 1022
Winthrop, WA 98862-1022
Phone (509) 341-4487

Other names 1

  • Susan Peterson MS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1861153793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "988621022",
            "telephone_number": "509-341-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORFOLK RD",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "988624500",
            "telephone_number": "509-341-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE PETERSON COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-341-4487",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Peterson MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winthrop, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.