RYAN PETERSON LPCC
NPI 1124650395
Counselor - Mental Health in Minneapolis, MN
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 Minneapolis, 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
Specialties & Licenses
Accepted 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).
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.
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 3802A Grand Ave S, Minneapolis, MN 55409. 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 February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ryan Peterson, LPCC · NPI 1124650395
Mental Health provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 6, 2020.
## Identity
- **NPI:** 1124650395 (Entity type: Individual)
- **Enumerated:** February 6, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2327 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3802A GRAND AVE S, Minneapolis, MN 55409-1233
- **Phone:** (612) 643-1932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124650395) · Data from the CMS NPPES public registry.