TRACEY PETERSON
NPI 1376390542
Marriage & Family Therapist in Roseville, CA

Q: What is Tracey Peterson's NPI number?

The NPI number for Tracey Peterson is 1376390542. It was assigned to this individual provider in the NPPES registry on May 4, 2024.

Q: What is Tracey Peterson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Peterson was last updated on May 4, 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.

Active since May 04, 2024

720 SUNRISE AVE STE 212D, ROSEVILLE, CA 95661(916) 772-6158 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracey Peterson NPPES

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

TRACEY PETERSON (NPI 1376390542) is an individual marriage & family therapist in Roseville, California, licensed in California (140851) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1376390542

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTRACEY PETERSON

Location Address720 SUNRISE AVE STE 212DRoseville, CA 95661-4514

Mailing Address720 Sunrise Ave Ste 212dRoseville, CA 95661-4514 · (916) 671-9781

Phone(916) 772-6158

Sole ProprietorNo

Enumeration DateMay 4, 2024

NPPES CertifiedMay 3, 2024

✔ NPI 1376390542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 140851

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

720 SUNRISE AVE STE 212D, Roseville, CA 95661

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Other Providers at the Same Location NPPES 15

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

DANIELA ANTONE

Counselor (Mental Health)