Jennifer Rae Peterson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-42274 Issued in ID

Practice address

254 E St Ste B
Idaho Falls, ID 83402

Phone

(208) 529-1854

Fax

(208) 523-5974

NPI assigned

Nov 15, 2022

Last updated

Jul 16, 2026By 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 2

Addresses

Other names 1

• Jennifer Wilson Former name

Electronic endpoints 1

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.

• America Health Inc

  • General Practice Physician
  • Idaho Falls, ID
  • NPI 1942836911

  Social Worker

  NPD (past)
• D7 Treatment

  dba Madison County

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1750727459
  NPD (past)

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1962111336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-529-1854",
            "fax_number": "208-523-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-529-1854",
            "fax_number": "208-523-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-42274",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "8921852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://americahealthurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "America Health website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Agency website",
            "address_1": "1810 W Broadway St",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834025072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Joan Peterson, MOTR/L
• Corene Peterson, LCSW
• Malik Peterson, DO, DO
• Emily Peterson
• Jason M Peterson, DDS
• Leon C Peterson, O.D.
• Marissa Peterson, MA/CCC-SLP
• Russell Henry Peterson, M.S.
• Pettingill Counseling PC
• Pettingill Counseling Services

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.