Christon Alexis Petersen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04060 Issued in KS

Practice address

8575 W 110TH St Ste 322
Overland Park, KS 66210-2620

Phone

(913) 735-9266

NPI assigned

Jun 17, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1942931266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 W 92ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153261",
            "telephone_number": "913-461-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 322",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-735-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRISTON",
        "middle_name": "ALEXIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna C Peters
• Kasey Peters
• Mary E Peters, PT, MPH, CEA
• Stephanie Lynne Peters, APRN
• Stephanie Michele Peters, MD, MS
• Corrin Petersen, LMFT
• Hilary A Petersen, MD
• Shane Petersen
• Teresa Petersen, PT, MS, PCS
• Cynthia Sandquist Peterson, P.T.

• Professional Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.