Ashley Petersen, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451023623 Issued in MI

Practice address

8080 Moorsbridge Rd
Portage, MI 49024-4421

Phone

(248) 520-2237

NPI assigned

May 29, 2024

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1003522061

  Multi-Specialty

  NPD (past)
• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1275032807

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1912747858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 AUSTRIAN PINE WAY APT 6B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243933",
            "telephone_number": "248-520-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244421",
            "telephone_number": "248-520-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ASHLEY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Perry
• Personal Medical Care PLLC
• Perspectives of Troy, PC
• Aimee Leah Peters, M.A.
• Elizabeth A Peters, LMSW
• Lloyd D. Peterson, BCBA-D
• Scott M Peterson, MD
• Phadia US Inc.
• Emma Phelps
• Grace Phelps, LLC

• Professional Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.