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PETERSON COUNSELING AND SUPERVISION, LLC
NPI 1285990002
Community/Behavioral Health in Eagan, MN

Active since April 05, 2012
1585 THOMAS CENTER DR, 104, EAGAN, MN 55122(952) 808-6848 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Counseling And Supervision, Llc NPPES

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

PETERSON COUNSELING AND SUPERVISION, LLC (NPI 1285990002) is a healthcare organization registered as a community/behavioral health in Eagan, Minnesota and active in the NPI registry since April 2012. The organization lists Jessica Ann Peterson, Partner, as its authorized official.

NPPES Registry Identity

NPI1285990002
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePETERSON COUNSELING AND SUPERVISION, LLC
Location Address1585 THOMAS CENTER DR, 104Eagan, MN 55122-3007
Mailing Address1585 Thomas Center Dr, 104Eagan, MN 55122-3007 · (952) 808-6848
Phone(952) 808-6848
Organization SubpartNo
Authorized OfficialJessica Ann PetersonPartner · (952) 808-6848
Enumeration DateApril 5, 2012
Last NPPES UpdateNovember 13, 2013
✔ NPI 1285990002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in MN · 20365✔ Licensed in MN · 20366
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1585 THOMAS CENTER DR, Eagan, MN 55122
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Other Identifiers 1

Medicaid06202MN

Other Providers at the Same Location NPPES

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

MRS. JESSICA ANN PETERSON LICSW, CSW-PIP
Social Worker (Clinical)
1585 THOMAS CENTER DR, STE 104
EAGAN, MN 55122
Dakota County (763) 560-0900

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 Peterson Counseling And Supervision, LLC's NPI number?

The NPI number for Peterson Counseling And Supervision, LLC is 1285990002. It was assigned to this organization in the NPPES registry on April 5, 2012.

Where is Peterson Counseling And Supervision, LLC located?

Peterson Counseling And Supervision, LLC is located at 1585 Thomas Center Dr 104, Eagan, MN 55122. The listed phone number is (952) 808-6848.

What is Peterson Counseling And Supervision, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Peterson Counseling And Supervision, LLC was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.