Cynthia A Peterson, MA, LP, LPCC, RPTS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP5107 Issued in MN

Practice address

14843 Energy Way
Apple Valley, MN 55124-5757

Phone

(952) 209-1644

Fax

(952) 423-0365

NPI assigned

Oct 2, 2006

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

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Progressive Inspirations IncGroup PAC ID 6406397348, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Progressive Inspirations, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, MN
  • NPI 1548812969
  Medicare reassignment Care Compare group NPD Authorized official
• Apple Valley Medical Clinic, LTD.

  • Family Medicine Physician
  • Apple Valley, MN
  • NPI 1477599918
  NPD (past)
• Iris Mental Health, LLC

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1023528213
  NPD (past)
• Oak Ridge Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, MN
  • NPI 1730247578
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1972696102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "952-209-1644",
            "fax_number": "952-423-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "952-209-1644",
            "fax_number": "952-423-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Dayton Ave Ste 317",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046276",
            "country_code": "US",
            "telephone_number": "651-645-1090",
            "fax_number": "651-645-5168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "MA, LP, LPCC, RPTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymn M Peacock
• Pearl Dialysis, LLC
• Amber Lee Pearson, FNP-C
• Dana James Penkivech, PHARMD
• Periodontal Care, PA
• Mai-Linh Pham, LGSW
• Phoenix Counseling Solutions, LLC
• PHS Apple Valley Senior Housing, Inc.
• Ashley Pickett
• Scott Pickford, PHARMD

• Counseling Psychologist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.