JAMES M PETERSON M.S. - NPI 1154657369 - Counselor in Du Bois, PA

Q: What is James Peterson's NPI number?

The NPI number for James Peterson is 1154657369. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Q: What is James 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 James Peterson was last updated on June 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About James M Peterson M.s. NPPES

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

JAMES M PETERSON M.S. (NPI 1154657369) is an individual mental health provider in Du Bois, Pennsylvania and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1154657369

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJAMES M PETERSONCredential: M.S.

Location Address100 CALDWELL DRDu Bois, PA 15801-1152

Mailing Address100 Caldwell DrDu Bois, PA 15801-1152 · (814) 765-5337

Phone(814) 765-5337

Sole ProprietorNo

Enumeration DateOctober 22, 2009

Last NPPES UpdateJune 21, 2011

✔ NPI 1154657369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

100 CALDWELL DR, Du Bois, PA 15801

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Other Identifiers 1

Medicaid1760596480SC

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.

ELAINE M. BOAL B. A.

Counselor (Mental Health)