CYNTHIA Y PETERSEN LPCC NPI 1710105895

NPI Information

  • NPI: 1710105895
  • Provider Name: CYNTHIA Y PETERSEN, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: PMG CEDAR PEDIATRIC ENDOCRINOLOGY
    201 CEDAR SE SUITE 4640
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 563-6530

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NPI Details

Cynthia Y Petersen, LPCC is a professional counselor in Albuquerque, NM. Cynthia Y Petersen, LPCC NPI is 1710105895. 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:

PMG CEDAR PEDIATRIC ENDOCRINOLOGY
201 CEDAR SE SUITE 4640
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 563-6530
Fax: (505) 563-6325

The NPI 1710105895 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 4/23/2007 and was last updated on 8/12/2014.

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)3737NEW MEXICONo
2101YP2500XCounselorProfessionalNEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N/AMEDICARE PIN
297037265MEDICAIDNEW MEXICO

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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