MRS. KIMBERLY NICOLE PETERSON M.A.
NPI 1316078967
Counselor in Portland, OR

Active since March 07, 2007
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232(503) 233-4356 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly Nicole Peterson M.a. NPPES

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

MRS. KIMBERLY NICOLE PETERSON M.A. (NPI 1316078967) is an individual counselor in Portland, Oregon and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1316078967
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KIMBERLY NICOLE PETERSONCredential: M.A.
Location Address1500 NE IRVING ST, SUITE 250Portland, OR 97232-2243
Mailing Address5105 Ne 48th AvePortland, OR 97218-2053 · (503) 307-4004
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1316078967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1500 NE IRVING ST, Portland, OR 97232

Other Names 1

Former Name (1)Kimberly Nicole Redslob M.a.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1500 NE IRVING ST
PORTLAND, OR 97232
Psychologist
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Student in an Organized Health Care Education/Training Program
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Counselor
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Case Manager/Care Coordinator
1500 NE IRVING ST
PORTLAND, OR 97232
Case Manager/Care Coordinator
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

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 Kimberly Peterson's NPI number?

The NPI number for Kimberly Peterson is 1316078967. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Kimberly Nicole Redslob M.A..

Where is Kimberly Peterson located?

Kimberly Peterson practices at 1500 NE Irving St Suite 250, Portland, OR 97232. The listed phone number is (503) 233-4356.

What is Kimberly Peterson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.