Paula Marie Peterson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3934-125 Issued in WI

Practice address

505 S Dewey St
Suite 208
Eau Claire, WI 54701-3704

Phone

(715) 832-1678

Fax

(715) 832-6680

NPI assigned

Nov 13, 2008

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paula Marie Sippy Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinic for Christian Counseling LLC

  • Community/Behavioral Health Agency
  • Eau Claire, WI
  • NPI 1720135932
  NPD (past)
• Cornerstone Counseling Services, Inc

  dba LifeStance Health

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1922252188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST",
            "address_2": "SUITE 208",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013704",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST",
            "address_2": "SUITE 208",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013704",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3934-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI LPC LICENTURE",
            "identifier": "3934-125",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43719000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SIPPY",
            "middle_name": "MARIE",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaiah Peterson, MS. CCC-SLP
• Kaitlin N Peterson, APSW
• Kay Sopinski Peterson, WCMT
• Laurie Louise Peterson, MD
• Megan Rae Peterson, BS
• Rebecca Peterson, L.M.T.
• Stephanie Kay Peterson
• Ronald Thomas Petit, LPC
• Kathryn Petska, BA
• Angela Pettis, RN

• Professional Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.