David Donald Peterson, M.A., L.M.H.C.,N.C.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004101 Issued in WA

Practice address

318 E Main St # 106
Battle Ground, WA 98604-8508

Phone

(360) 687-2074

Fax

(360) 256-5589

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932284031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST # 106",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048508",
            "telephone_number": "360-687-2074",
            "fax_number": "360-256-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST # 106",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048508",
            "telephone_number": "360-687-2074",
            "fax_number": "360-256-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "M.A., L.M.H.C.,N.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Direct Care
• Kelsey J Peck, PT
• Amber Elaine Peldo
• Louis I Peng, MD
• Jutta Maria Percifield
• Tyrell Pincock, DC
• Kristen Pittman, CPNP
• Stephanie Diane Plumm, RPH
• Joellen Podlog, PA-C
• Mikhail Podlog, D.O.

• Mental Health Counselor in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.