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DAVID JORDAN PETERSON MS, LAC
NPI 1093491417
Counselor - Mental Health in Springdale, AR

Active since June 22, 2023
109 N 48TH ST, SPRINGDALE, AR 72762(479) 222-0269 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Jordan Peterson Ms, Lac NPPES

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

DAVID JORDAN PETERSON MS, LAC (NPI 1093491417) is an individual mental health provider in Springdale, Arkansas, licensed in Arkansas (A2304006) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1093491417
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID JORDAN PETERSONCredential: MS, LAC
Location Address109 N 48TH STSpringdale, AR 72762-3743
Mailing Address5900 W Stoney Brook Rd Apt 9106Rogers, AR 72758-4649 · (903) 571-8955
Phone(479) 222-0269
Sole ProprietorYes
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1093491417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2304006
109 N 48TH ST, Springdale, AR 72762
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Other Providers at the Same Location NPPES 7

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

CARRIE A NICKLES LPC
Counselor (Mental Health)
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (303) 905-9025
JASON BOWYER MS, LAC
Counselor (Mental Health)
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (540) 136-6492
TWYLA A ROWNAK LPC, MFT
Counselor (Mental Health)
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (479) 426-7794
CONNECTED WELLNESS, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (817) 290-3321
KARA BLANKENSHIP
Counselor (Professional)
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (479) 510-2100
ELIZABETH REIMER MS, LAC
Counselor (Mental Health)
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (214) 288-0031
OPTIMIZE WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 N 48TH ST
SPRINGDALE, AR 72762
Washington County (479) 510-2100

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 David Peterson's NPI number?

The NPI number for David Peterson is 1093491417. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is David Peterson located?

David Peterson practices at 109 N 48th St, Springdale, AR 72762. The listed phone number is (479) 222-0269.

What is David Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for David Peterson was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.