AMANDA JO PETERSON LLPC
NPI 1154857993
Counselor - Professional in Greenville, MI

Active since May 11, 2017
6728 VINING RD, GREENVILLE, MI 48838(616) 225-8220(616) 225-8226 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Jo Peterson Llpc NPPES

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

AMANDA JO PETERSON LLPC (NPI 1154857993) is an individual professional provider in Greenville, Michigan, licensed in Michigan (6401014778) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1154857993
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA JO PETERSONCredential: LLPC
Location Address6728 VINING RDGreenville, MI 48838-9784
Mailing AddressPo Box 1767Grand Rapids, MI 49501-1767 · (616) 235-2090 · Fax (616) 235-2099
Fax(616) 225-8226
Sole ProprietorNo
Enumeration DateMay 11, 2017
NPI 1154857993 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 MI · 6401014778
6728 VINING RD, Greenville, MI 48838

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.

Psychologist (Clinical)
6728 VINING RD
GREENVILLE, MI 48838
Psychologist (Addiction (Substance Use Disorder))
6728 VINING RD
GREENVILLE, MI 48838
Counselor
6728 VINING RD
GREENVILLE, MI 48838
Counselor (Professional)
6728 VINING RD
GREENVILLE, MI 48838
Community Based Residential Treatment Facility, Mental Illness
6728 VINING RD
GREENVILLE, MI 48838
Social Worker (Clinical)
6728 VINING RD
GREENVILLE, MI 48838
Counselor (Mental Health)
6728 VINING RD
GREENVILLE, MI 48838
Social Worker (Clinical)
6728 VINING RD
GREENVILLE, MI 48838

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 Amanda Peterson's NPI number?

The NPI number for Amanda Peterson is 1154857993. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Amanda Peterson located?

Amanda Peterson practices at 6728 Vining Rd, Greenville, MI 48838. The listed phone number is (616) 225-8220.

What is Amanda 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 Amanda Peterson was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.