Victoria Peterson-Hilleque, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP7225 Issued in MN

Practice address

4600 77TH St W Ste 370
Edina, MN 55435-4912

Phone

(612) 464-1400

NPI assigned

Aug 28, 2025

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Therapy GroupGroup PAC ID 7810427986, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mosaic Therapy Group

  • Multi-Specialty Clinic/Center
  • Edina, MN
  • NPI 1679167126
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1962381624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 77TH ST W STE 370",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354912",
            "telephone_number": "612-464-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 77TH ST W STE 370",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354912",
            "telephone_number": "612-464-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-HILLEQUE",
        "first_name": "VICTORIA",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP7225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Wichmann Petersen, PA
• Douglas George Petersen, DDS
• Juliette E Petersen, MD
• Krista Kelly Petersen
• Rebecca Marie Petersen, LAC
• Allison Kay Peterson, M.A., L.P.
• Amanda Ann Peterson, RD
• Daniel B Peterson, MD
• Daniel Lee Peterson, PA-C
• Erik Peterson, OTR/L

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.