MARCUS PETERSON CGC
NPI 1104786532
Genetic Counselor, MS in St. Louis Park, MN

Active since November 17, 2025
3931 LOUISIANA AVE S, ST. LOUIS PARK, MN 55426(952) 993-3230(952) 993-1748 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marcus Peterson Cgc NPPES

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

MARCUS PETERSON CGC (NPI 1104786532) is an individual genetic counselor, ms provider in St. Louis Park, Minnesota, licensed in Minnesota (1748) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104786532
Entity TypeIndividual
Primary Taxonomy170300000X
Provider Legal NameMARCUS PETERSONCredential: CGC
Location Address3931 LOUISIANA AVE SSt. Louis Park, MN 55426-4702
Mailing Address8170 33rd Ave S, Mail Stop 21110qBloomington, MN 55425-4516
Fax(952) 993-1748
Sole ProprietorNo
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
NPI 1104786532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License Licensed in MN · 1748
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
3931 LOUISIANA AVE S, St. Louis Park, MN 55426

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.

Nurse Practitioner
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

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 Marcus Peterson's NPI number?

The NPI number for Marcus Peterson is 1104786532. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Marcus Peterson located?

Marcus Peterson practices at 3931 Louisiana Ave S, St. Louis Park, MN 55426. The listed phone number is (952) 993-3230.

What is Marcus Peterson's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Marcus Peterson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.