BENJAMIN BRADLEY PETERSON NPI 1093563769

NPI Information

  • NPI: 1093563769
  • Provider Name: BENJAMIN BRADLEY PETERSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3521 STANFORD RD APT 308-0312
    FORT COLLINS, CO
    ZIP 80525
  • Phone: (612) 408-9870

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NPI Details

Benjamin Bradley Peterson is a mental health counselor in Fort Collins, CO. Benjamin Bradley Peterson NPI is 1093563769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3521 STANFORD RD APT 308-0312
FORT COLLINS, CO
ZIP 80525-079
Phone: (612) 408-9870

The enumeration date for this NPI number is 5/8/2024 and was last updated on 5/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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