MR. THOMAS MICHAEL PETERSON MS LPCA NCC CCMHC NPI 1235642760

NPI Information

  • NPI: 1235642760
  • Provider Name: MR. THOMAS MICHAEL PETERSON, MS, LPCA, NCC, CCMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 415 E 4TH ST
    CHARLOTTE, NC
    ZIP 28202
  • Phone: (704) 377-5042

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NPI Details

MR. Thomas Michael Peterson, MS, LPCA, NCC, CCMHC is a mental health counselor in Charlotte, NC. MR. Thomas Michael Peterson, MS, LPCA, NCC, CCMHC NPI is 1235642760. 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:

415 E 4TH ST
CHARLOTTE, NC
ZIP 28202-405
Phone: (704) 377-5042
Fax: (704) 377-5043

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.

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
1101YM0800XCounselorMental HealthA13471NORTH CAROLINAYes

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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