1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Counselor
  6. NPI Profile

LYDIA PETERSEN LGSW, LADC
NPI 1285478776
Counselor - Mental Health in St Louis Park, MN

Active since June 20, 2024
5354 PARKDALE DR FL 3, ST LOUIS PARK, MN 55416(919) 287-6274 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lydia Petersen Lgsw, Ladc NPPES

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

LYDIA PETERSEN LGSW, LADC (NPI 1285478776) is an individual mental health provider in St Louis Park, Minnesota, licensed in Minnesota (32713) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1285478776
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYDIA PETERSENCredential: LGSW, LADC
Location Address5354 PARKDALE DR FL 3St Louis Park, MN 55416-1603
Mailing Address1367 Willow St Apt 308Minneapolis, MN 55403-2578 · (507) 381-5920
Phone(919) 287-6274
Sole ProprietorYes
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1285478776 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
License✔ Licensed in MN · 32713
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305955 (MN)
5354 PARKDALE DR FL 3, St Louis Park, MN 55416
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

NILE SKY PEARL HAMMELMAN
Counselor (Professional)
5354 PARKDALE DR FL 3
ST LOUIS PARK, MN 55416
Hennepin County (651) 645-5323
MADELINE PAIGE KURAS RD, LD
Dietitian, Registered
5354 PARKDALE DR FL 3
ST LOUIS PARK, MN 55416
Hennepin County (888) 364-5977

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 Lydia Petersen's NPI number?

The NPI number for Lydia Petersen is 1285478776. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Lydia Petersen located?

Lydia Petersen practices at 5354 Parkdale Dr Fl 3, St Louis Park, MN 55416. The listed phone number is (919) 287-6274.

What is Lydia Petersen'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 Lydia Petersen was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.