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REBECCA PETERSON CO 60202212
NPI 1003364829
Counselor - Addiction (Substance Use Disorder) in Freeland, WA

Active since September 21, 2016
5548 MYRTLE AVE, FREELAND, WA 98249(360) 502-4090(425) 249-3528 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2019, Sep 21, 2016 (2 updates tracked since 2016).

About Rebecca Peterson Co 60202212 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA PETERSON CO 60202212 (NPI 1003364829) is an individual addiction (substance use disorder) provider in Freeland, Washington, licensed in Washington (CO 60202212) and active in the NPI registry since September 2016. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1003364829
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameREBECCA PETERSONCredential: CO 60202212
Location Address5548 MYRTLE AVEFreeland, WA 98249-8776
Mailing Address1178 Sw Leschi DrOak Harbor, WA 98277-5809 · (360) 672-0812
Phone(360) 502-4090
Fax(425) 249-3528
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
✔ NPI 1003364829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO 60202212
5548 MYRTLE AVE, Freeland, WA 98249
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Secondary Practice Location 1

Location 17440 W Marginal Way SSeattle, WA 98108-4141 · Phone (360) 856-3183

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHIDBEY ISLAND THERAPY CENTER
Marriage & Family Therapist
5548 MYRTLE AVE, STE 101
FREELAND, WA 98249
Island County (360) 969-9722
REBOOT CENTER FOR INNOVATIVE MEDICINE
Clinic/Center (Multi-Specialty)
5548 MYRTLE AVE, SUITE 202
FREELAND, WA 98249
Island County (360) 331-2464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Peterson's NPI number?

The NPI number for Rebecca Peterson is 1003364829. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Rebecca Peterson located?

Rebecca Peterson practices at 5548 Myrtle Ave, Freeland, WA 98249. The listed phone number is (360) 502-4090.

What is Rebecca Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rebecca Peterson was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.