Gary Jack Peterson, LAC-23090

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-23090 Issued in AZ

Practice address

6303 E Tanque Verde Rd Ste 210
Tucson, AZ 85715-3859

Phone

(520) 423-5600

Fax

(520) 423-5600

NPI assigned

Aug 31, 2026

Sex

Male

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1952219982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 BARRACO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856504208",
            "fax_number": "520-335-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 E TANQUE VERDE RD STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153859",
            "telephone_number": "520-423-5600",
            "fax_number": "520-423-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GARY",
        "middle_name": "JACK",
        "credential": "LAC-23090",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-23090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart C Peterson, ATC
• Charles John Peterson, MD
• Christopher Luke Peterson, D.O.
• Douglas Peterson, MD
• Erin Peterson, PT
• Gary S Peterson, DDS
• Holly Peterson, PHARMD
• Jacquelyn Peterson, RN, BSN
• Jeffrey Hal Peterson, D.C.
• John Peterson, PHARMD

• Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.