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MICHAEL PETERSEN
NPI 1093182552
Counselor in Saint George, UT

Active since August 31, 2015
1067 E TABERNACLE ST, SUITE 7, SAINT GEORGE, UT 84770(801) 255-5131(801) 255-5131 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Petersen NPPES

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

MICHAEL PETERSEN (NPI 1093182552) is an individual counselor in Saint George, Utah and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1093182552
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL PETERSEN
Location Address1067 E TABERNACLE ST, SUITE 7Saint George, UT 84770-3163
Mailing Address6013 S Redwood RdTaylorsville, UT 84123-5220 · (801) 255-5131 · Fax (801) 255-5131
Phone(801) 255-5131
Fax(801) 255-5131
Sole ProprietorNo
Enumeration DateAugust 31, 2015
✔ NPI 1093182552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1067 E TABERNACLE ST, Saint George, UT 84770
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Other Providers at the Same Location NPPES 20

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

KILEY BRADY
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
PAOLO VAZQUEZ SERRANO
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
AUSTIN CAMPBELL
Counselor
1067 E TABERNACLE ST, SUITE 7
SAINT GEORGE, UT 84770
Washington County (801) 255-5131
AAYA GAHELRASOOL
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
JOSUE ZAPATA
Behavior Analyst
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
PAXTEN PRENTICE
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
EMMAKAITE COLEMAN
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131
GIORGIANA SMITH
Behavior Technician
1067 E TABERNACLE ST
ST GEORGE, UT 84770
Washington County (801) 255-5131

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1093182552. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Michael Petersen located?

Michael Petersen practices at 1067 E Tabernacle St Suite 7, Saint George, UT 84770. The listed phone number is (801) 255-5131.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.