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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PETERSEN MENTAL HEALTH PLLC
NPI 1255247847
Social Worker - Clinical in Boise, ID

Active since August 22, 2026
6177 N OLIVER AVE, BOISE, ID 83714(208) 954-2310 Get Directions Write a Review

NPPES record added: August 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Petersen Mental Health Pllc NPPES

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

PETERSEN MENTAL HEALTH PLLC (NPI 1255247847) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since August 2026. The organization lists Lucas Cedric Petersen, Owner / Lcsw, as its authorized official.

NPPES Registry Identity

NPI1255247847
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePETERSEN MENTAL HEALTH PLLC
Location Address6177 N OLIVER AVEBoise, ID 83714-2070
Mailing Address6177 N Oliver AveBoise, ID 83714-2070
Phone(208) 954-2310
Organization SubpartNo
Authorized OfficialLucas Cedric PetersenOwner / Lcsw · (208) 954-2310
Enumeration DateAugust 22, 2026
NPPES CertifiedAugust 22, 2026
✔ NPI 1255247847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6177 N OLIVER AVE, Boise, ID 83714
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LUCAS CEDRIC PETERSEN
Social Worker (Clinical)
6177 N OLIVER AVE
BOISE, ID 83714
Ada County (208) 954-2310

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 Petersen Mental Health PLLC's NPI number?

The NPI number for Petersen Mental Health PLLC is 1255247847. It was assigned to this organization in the NPPES registry on August 22, 2026.

Where is Petersen Mental Health PLLC located?

Petersen Mental Health PLLC is located at 6177 N Oliver Ave, Boise, ID 83714. The listed phone number is (208) 954-2310.

What is Petersen Mental Health PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Petersen Mental Health PLLC was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.