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JUSTIN PETERSON LPCC
NPI 1366035834
Counselor in Albuquerque, NM

Active since February 16, 2021PECOS Enrolled
4004 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107(505) 270-7733 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Peterson Lpcc NPPES

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

JUSTIN PETERSON LPCC (NPI 1366035834) is an individual counselor in Albuquerque, New Mexico, licensed in New Mexico (CTB20250426) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366035834
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJUSTIN PETERSONCredential: LPCC
Location Address4004 CARLISLE BLVD NEAlbuquerque, NM 87107-4565
Mailing Address304 Homeland Rd NwAlbuquerque, NM 87114-1614
Phone(505) 270-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 16, 2021
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1366035834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NM · CTB20250426
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CTB-2023-0133 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4004 CARLISLE BLVD NE, Albuquerque, NM 87107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Peterson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789161746
PECOS Enrollment IDI20260121001745
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

KIMBERLY BRASHER LPCC
Counselor (Professional)
4004 CARLISLE BLVD NE, SUITE Q
ALBUQUERQUE, NM 87107
Bernalillo County (505) 899-9329
ZAGREUS LLC
Counselor (Mental Health)
4004 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 270-7733
LIZBETH DELGADO
Counselor (Mental Health)
4004 CARLISLE BLVD NE, B
ALBUQUERQUE, NM 87107
Bernalillo County (505) 585-5024
DR. DAVID JOSEPH LACOURT PH.D.
Psychologist
4004 CARLISLE BLVD NE, SUITE F
ALBUQUERQUE, NM 87107
Bernalillo County (505) 830-1629
INCLUSIVE SPEECH THERAPY
Speech-Language Pathologist
4004 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 710-3833
MRS. TATANYIEA TRUJILLO LMT
Massage Therapist
4004 CARLISLE BLVD NE, SUITE K
ALBUQUERQUE, NM 87107
Bernalillo County (505) 321-9880
BODY & SKIN CLINIC INC
Chiropractor
4004 CARLISLE BLVD NE, SUITE S
ALBUQUERQUE, NM 87107
Bernalillo County (505) 872-2900
MARY ANN SHINNICK LISW
Social Worker
4004 CARLISLE BLVD NE, SUITE J
ALBUQUERQUE, NM 87107
Bernalillo County (505) 459-7565

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 Justin Peterson's NPI number?

The NPI number for Justin Peterson is 1366035834. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Justin Peterson located?

Justin Peterson practices at 4004 Carlisle Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 270-7733.

What is Justin Peterson's specialty?

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

Is Justin Peterson enrolled in Medicare?

Yes. Justin Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Peterson was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.