Individual provider Active NPI

Cheri Ann Peterson, LCSW,LMFT, LAC

  • Clinical Social Worker
  • Choteau, MT
National Provider Identifier
1861402109
Registry record updated Jun 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-709 Issued in MT
Practice address
21 1St St NW # 2
Choteau, MT 59422-9423
Phone
(406) 868-6902
NPI assigned
Aug 9, 2006
Last updated
Jun 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-1065 MT
Clinical Social Worker 1041C0700X LCSW-760 WY
Clinical Social Worker 1041C0700X L7004 OR
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-709 MT Primary
Marriage & Family Therapist 106H00000X SWP-LMFT-LIC-91 MT

Addresses

Primary practice location

21 1St St NW # 2
Choteau, MT 59422-9423

Mailing address

PO Box 727
Bynum, MT 59419-0727
Phone (406) 868-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-1065MTMDAddiction (Substance Use Disorder) Counselor
SWP-LCSW-LIC-709MTMDClinical Social Worker
L7004ORMDClinical Social Worker
LCSW-760WYMDClinical Social Worker
SWP-LMFT-LIC-91MTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1861402109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "BYNUM",
            "state": "MT",
            "postal_code": "594190727",
            "telephone_number": "406-868-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 1ST ST NW # 2",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229423",
            "telephone_number": "406-868-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHERI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW,LMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-1065",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-760",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-709",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "SWP-LMFT-LIC-91",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.