BENJAMIN BRADLEY PETERSON
NPI 1093563769
Counselor - Mental Health in Fort Collins, CO

Active since May 08, 2024
3521 STANFORD RD APT 308-0312, FORT COLLINS, CO 80525(612) 408-9870 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Bradley Peterson NPPES

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

BENJAMIN BRADLEY PETERSON (NPI 1093563769) is an individual mental health provider in Fort Collins, Colorado and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1093563769
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN BRADLEY PETERSON
Location Address3521 STANFORD RD APT 308-0312Fort Collins, CO 80525-4079
Mailing Address3521 Stanford Rd Apt 308-0312Fort Collins, CO 80525-4079 · (612) 408-9870
Sole ProprietorYes
Enumeration DateMay 8, 2024
NPPES CertifiedMay 2, 2024
NPI 1093563769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedContractorTaxonomy 171W00000X
3521 STANFORD RD APT 308-0312, Fort Collins, CO 80525

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 Benjamin Peterson's NPI number?

The NPI number for Benjamin Peterson is 1093563769. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Benjamin Peterson located?

Benjamin Peterson practices at 3521 Stanford Rd Apt 308-0312, Fort Collins, CO 80525. The listed phone number is (612) 408-9870.

What is Benjamin 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 Benjamin Peterson was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.