JENNIFER PETERSON LICSW NPI 1376076000

NPI Information

  • NPI: 1376076000
  • Provider Name: JENNIFER PETERSON, LICSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 511 N ARGONNE RD STE 201
    SPOKANE VALLEY, WA
    ZIP 99212
  • Phone: (509) 926-0229

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NPI Details

Jennifer Peterson, LICSW is a mental health counselor in Spokane Valley, WA. Jennifer Peterson, LICSW NPI is 1376076000. 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:

511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA
ZIP 99212-878
Phone: (509) 926-0229

The NPI 1376076000 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 4/10/2017 and was last updated on 9/9/2022.

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 HealthSC 60726293WASHINGTONNo
21041C0700XSocial WorkerClinicalLW60888542WASHINGTONNo
3101YM0800XCounselorMental HealthLW60888542WASHINGTONYes

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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