ALYSSA RAELYNN PETERSEN LPC NPI 1336714039

NPI Information

  • NPI: 1336714039
  • Provider Name: ALYSSA RAELYNN PETERSEN, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4000 N BRENDAN LN
    SIOUX FALLS, SD
    ZIP 57107
  • Phone: (605) 332-2883

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NPI Details

Alyssa Raelynn Petersen, LPC is a professional counselor in Sioux Falls, SD with 8 years of experience. Alyssa Raelynn Petersen, LPC NPI is 1336714039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 N BRENDAN LN
SIOUX FALLS, SD
ZIP 57107-286
Phone: (605) 332-2883

The NPI 1336714039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 11/10/2025.

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
1101YP2500XCounselorProfessionalLPCMH-30589SOUTH DAKOTAYes
2101YM0800XCounselorMental HealthLPC-20530SOUTH DAKOTANo

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: 11/21/2025

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