Allison Kay Peterson, M.A., L.P.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP5049 Issued in MN

Practice address

7400 Metro Blvd Ste 190
Edina, MN 55439-2361

Phone

(612) 486-2956

Fax

(888) 974-1262

NPI assigned

Mar 22, 2010

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Families

  • Counseling Psychologist
  • Edina, MN
  • NPI 1427425313
  NPD Authorized official
• Mindful Families

  • Counseling Psychologist
  • Bloomington, MN
  • NPI 1962821520
  NPD Authorized official

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992029763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 190",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392361",
            "telephone_number": "612-486-2956",
            "fax_number": "888-974-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 190",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392361",
            "telephone_number": "612-486-2956",
            "fax_number": "888-974-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 OLeary Ln",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551232340",
            "country_code": "US",
            "telephone_number": "651-454-0114",
            "fax_number": "651-454-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ALLISON",
        "middle_name": "KAY",
        "credential": "M.A., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas George Petersen, DDS
• Juliette E Petersen, MD
• Krista Kelly Petersen
• Rebecca Marie Petersen, LAC
• Victoria Peterson-Hilleque, LP
• Amanda Ann Peterson, RD
• Daniel B Peterson, MD
• Daniel Lee Peterson, PA-C
• Erik Peterson, OTR/L
• Erin C Peterson, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.