MR. JERMAINE PETERSON M.ED. NPI 1508152448

NPI Information

  • NPI: 1508152448
  • Provider Name: MR. JERMAINE PETERSON, M.ED.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2701 N OKLAHOMA AVE
    OKLAHOMA CITY, OK
    ZIP 73105
  • Phone: (405) 524-2673

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NPI Details

MR. Jermaine Peterson, M.ED. is a mental health counselor in Oklahoma City, OK. MR. Jermaine Peterson, M.ED. NPI is 1508152448. 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:

2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
ZIP 73105-724
Phone: (405) 524-2673

The enumeration date for this NPI number is 6/20/2011 and was last updated on 6/20/2011.

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 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

NPI Synchronization or Removal

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