MR. WAYNE DOUGLAS PETERSON LPC
NPI 1124160262
Counselor - Professional in Richfield, UT

Active since February 13, 2007
164 N MAIN ST, (REAR), RICHFIELD, UT 84701(435) 201-4481 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Wayne Douglas Peterson Lpc NPPES

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

MR. WAYNE DOUGLAS PETERSON LPC (NPI 1124160262) is an individual professional provider in Richfield, Utah, licensed in Utah (3690346004) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124160262
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WAYNE DOUGLAS PETERSONCredential: LPC
Location Address164 N MAIN ST, (REAR)Richfield, UT 84701-2170
Mailing AddressPo Box 662Richfield, UT 84701-0662 · (435) 201-4481
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124160262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in UT · 3690346004
164 N MAIN ST, Richfield, UT 84701

Other Names 1

Professional Name (2)Mr. Douglas Peterson Lpc

Other Identifiers 2

Other36903460000001Regence Blue Cross Blue S
Other86695Pehp

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 Wayne Peterson's NPI number?

The NPI number for Wayne Peterson is 1124160262. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Mr. Douglas Peterson Lpc.

Where is Wayne Peterson located?

Wayne Peterson practices at 164 N Main St (rear), Richfield, UT 84701. The listed phone number is (435) 201-4481.

What is Wayne Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wayne Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.