ERIC PETERSON MA LPCC LADC NPI 1598342503

NPI Information

  • NPI: 1598342503
  • Provider Name: ERIC PETERSON, MA, LPCC, LADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2855 ANTHONY LN S STE 140
    SAINT ANTHONY, MN
    ZIP 55418
  • Phone: (612) 412-4873

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NPI Details

Eric Peterson, MA, LPCC, LADC is a mental health counselor in Saint Anthony, MN with 6 years of experience. Eric Peterson, MA, LPCC, LADC NPI is 1598342503. 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:

2855 ANTHONY LN S STE 140
SAINT ANTHONY, MN
ZIP 55418-880
Phone: (612) 412-4873

The NPI 1598342503 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 3/25/2021 and was last updated on 8/13/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)305906MINNESOTANo
2101YM0800XCounselorMental Health3809MINNESOTAYes

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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