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COURTNEY PETERSEN
NPI 1295567865
Peer Specialist in Grand Rapids, MI

Active since August 14, 2024
330 COMMERCE, GRAND RAPIDS, MI 49503(616) 258-7599 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courtney Petersen NPPES

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

COURTNEY PETERSEN (NPI 1295567865) is an individual peer specialist in Grand Rapids, Michigan and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1295567865
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCOURTNEY PETERSEN
Location Address330 COMMERCEGrand Rapids, MI 49503
Mailing Address330 Commerce Ave. SwGrand Rapids, MI 49503
Phone(616) 258-7599
Sole ProprietorYes
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1295567865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
330 COMMERCE, Grand Rapids, MI 49503
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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 Courtney Petersen's NPI number?

The NPI number for Courtney Petersen is 1295567865. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Courtney Petersen located?

Courtney Petersen practices at 330 Commerce, Grand Rapids, MI 49503. The listed phone number is (616) 258-7599.

What is Courtney Petersen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Courtney Petersen was last updated on August 14, 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.