Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN PETERSON LPCC
NPI 1124650395
Counselor - Mental Health in Saint Paul, MN

Q: What is Ryan Peterson's NPI number?

The NPI number for Ryan Peterson is 1124650395. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Ryan Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Peterson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since February 06, 2020PECOS Enrolled

821 RAYMOND AVE STE 270, SAINT PAUL, MN 55114(612) 643-1932(612) 587-1228 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Feb 6, 2020 (2 updates tracked since 2020).

On this page

About Ryan Peterson Lpcc NPPES

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

RYAN PETERSON LPCC (NPI 1124650395) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (2327) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124650395

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRYAN PETERSONCredential: LPCC

Location Address821 RAYMOND AVE STE 270Saint Paul, MN 55114-1509

Mailing Address821 Raymond Ave Ste 270Saint Paul, MN 55114-1509 · (612) 643-1932 · Fax (612) 587-1228

Phone(612) 643-1932

Fax(612) 587-1228

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 6, 2020

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1124650395 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 MN · 2327

821 RAYMOND AVE STE 270, Saint Paul, MN 55114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Peterson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113365446

PECOS Enrollment IDI20240405002078

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

MARGARET ELIZABETH JOHNSON

Counselor (Professional)

821 RAYMOND AVE STE 270
SAINT PAUL, MN 55114

Ramsey County (612) 208-7345

RUGGLES PSYCHOTHERAPY & CONSULTING LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

821 RAYMOND AVE STE 270
SAINT PAUL, MN 55114

Ramsey County (612) 208-9640

MORGAN BOELTL MS

Counselor (Mental Health)

821 RAYMOND AVE STE 270
SAINT PAUL, MN 55114

Ramsey County (612) 293-8019

BRITNI KELLEY COUNSELING, PLLC

Marriage & Family Therapist

821 RAYMOND AVE STE 270
SAINT PAUL, MN 55114

Ramsey County (612) 293-8019

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 Ryan Peterson's NPI number?

The NPI number for Ryan Peterson is 1124650395. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Ryan Peterson located?

Ryan Peterson practices at 821 Raymond Ave Ste 270, Saint Paul, MN 55114. The listed phone number is (612) 643-1932.

What is Ryan Peterson's specialty?

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

Is Ryan Peterson enrolled in Medicare?

Yes. Ryan Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Peterson accept?

Health plans from HealthPartners list Ryan Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Peterson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.