Britney Ellen Peterson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001535 Issued in CO

Practice address

5335 W 48TH Ave
Denver, CO 80212-2700

Phone

(303) 525-3703

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Root and Revive Wellness LLC

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1679334080
  NPD Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1922417104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 W 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122700",
            "telephone_number": "303-525-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122700",
            "telephone_number": "303-525-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Coffman St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "80501",
            "country_code": "US",
            "telephone_number": "303-245-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRITNEY",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Petersen, S.A.
• Kevin W Petersen
• Scott R Petersen, LCSW, CADC, CAC-III
• Ashley Anne Glazier Petersohn, RDH, MA,BA
• Amanda Peterson, CAT
• Candace Peterson
• Cassandra Peterson, LPC
• Cheri L Peterson, PT, DPT, CSCS, CFC
• Christa C Peterson, RN
• Cynthia Ludlow Peterson, LSW

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.