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KELBY TALISA PETERSON
NPI 1093192049
Counselor in Brigham City, UT

Active since April 29, 2015
862 S MAIN SUITE 4, BRIGHAM CITY, UT 84302(435) 753-6245 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelby Talisa Peterson NPPES

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

KELBY TALISA PETERSON (NPI 1093192049) is an individual counselor in Brigham City, Utah and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1093192049
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELBY TALISA PETERSON
Location Address862 S MAIN SUITE 4Brigham City, UT 84302
Mailing Address862 S Main Suite 4Brigham City, UT 84302
Phone(435) 753-6245
Sole ProprietorYes
Enumeration DateApril 29, 2015
Last NPPES UpdateMay 14, 2015
✔ NPI 1093192049 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.
862 S MAIN SUITE 4, Brigham City, UT 84302
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Other Providers at the Same Location NPPES 15

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

TEIN DANIEL HAWKE
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
WILLIAM MILLER I
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
HUNTER NILSON
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
YOUTHTRACK, INC
Foster Care Agency
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
ALFREDA ALLEN
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
SHANNON BETH ROSS
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
KENNETH CRANDALL
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799
MR. CHASE DEE CRAGUN
Counselor
862 S MAIN SUITE 4
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1799

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 Kelby Peterson's NPI number?

The NPI number for Kelby Peterson is 1093192049. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Kelby Peterson located?

Kelby Peterson practices at 862 S Main Suite 4, Brigham City, UT 84302. The listed phone number is (435) 753-6245.

What is Kelby Peterson'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 Kelby Peterson was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.