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CAROL CAMILLE PETERSON
NPI 1255858510
Counselor - Addiction (Substance Use Disorder) in Virginia, MN

Active since August 28, 2017
505 S 12TH AVE W, VIRGINIA, MN 55792(218) 749-2877(218) 749-6033 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Carol Camille Peterson NPPES

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

CAROL CAMILLE PETERSON (NPI 1255858510) is an individual addiction (substance use disorder) provider in Virginia, Minnesota, licensed in Minnesota (300222) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1255858510
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCAROL CAMILLE PETERSON
Location Address505 S 12TH AVE WVirginia, MN 55792-3099
Mailing Address505 S 12th Ave WVirginia, MN 55792-3099 · (218) 749-2877 · Fax (218) 749-6033
Phone(218) 749-2877
Fax(218) 749-6033
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1255858510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300222
505 S 12TH AVE W, Virginia, MN 55792
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Other Providers at the Same Location NPPES 6

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

GREGORY EDWARD GOLEN LADC
Counselor (Addiction (Substance Use Disorder))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County (218) 749-2877
MISS JERIS JEAN VAIDA
Counselor (Addiction (Substance Use Disorder))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County (218) 749-2877
RACHEL MARIE OIVANTI LADC
Counselor (Addiction (Substance Use Disorder))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County (218) 749-2877
MARK ANTHONY COEN LADC
Counselor (Addiction (Substance Use Disorder))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County (218) 749-2877
NORTHERN REFLECTIONS COUNSELING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County (218) 780-9811
MS. DANIELLE RAE SPOLARICH LPC, LADC
Counselor (Addiction (Substance Use Disorder))
505 S 12TH AVE W
VIRGINIA, MN 55792
St. Louis County

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 Carol Peterson's NPI number?

The NPI number for Carol Peterson is 1255858510. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Carol Peterson located?

Carol Peterson practices at 505 S 12th Ave W, Virginia, MN 55792. The listed phone number is (218) 749-2877.

What is Carol Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carol Peterson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.