JESSICA MARIE PETERSON
NPI 1194292805
Counselor - Mental Health in Sagamore, MA

Q: What is Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1194292805. It was assigned to this individual provider in the NPPES registry on October 31, 2018. The provider is also known as Jessica Marie Peterson.

Q: What is Jessica 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 Jessica Peterson was last updated on May 11, 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.

Active since October 31, 2018

4 GARFIELD AVE, SAGAMORE, MA 02561(774) 994-2928 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2020, Oct 31, 2018 (2 updates tracked since 2018).

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About Jessica Marie Peterson NPPES

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

JESSICA MARIE PETERSON (NPI 1194292805) is an individual mental health provider in Sagamore, Massachusetts and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1194292805

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSICA MARIE PETERSON

Location Address4 GARFIELD AVESagamore, MA 02561-0718

Mailing AddressPo Box 718Sagamore, MA 02561-0718 · (774) 994-2928

Phone(774) 994-2928

Sole ProprietorYes

Enumeration DateOctober 31, 2018

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1194292805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4 GARFIELD AVE, Sagamore, MA 02561

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Other Names 1

Professional Name (2)Jessica Marie Peterson

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 Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1194292805. It was assigned to this individual provider in the NPPES registry on October 31, 2018. The provider is also known as Jessica Marie Peterson.

Where is Jessica Peterson located?

Jessica Peterson practices at 4 Garfield Ave, Sagamore, MA 02561. The listed phone number is (774) 994-2928.

What is Jessica Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Peterson was last updated on May 11, 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.