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DESIREE PETERSEN
NPI 1376994780
Student in an Organized Health Care Education/Training Program in Auburn, WA

Active since June 27, 2016
4240 AUBURN WAY N, AUBURN, WA 98002(253) 876-8900 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2021, May 18, 2021, Jun 27, 2016 (3 updates tracked since 2016).

About Desiree Petersen NPPES

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

DESIREE PETERSEN (NPI 1376994780) is an individual student in an organized health care education/training program in Auburn, Washington and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1376994780
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESIREE PETERSEN
Location Address4240 AUBURN WAY NAuburn, WA 98002-1311
Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (206) 901-2000
Phone(253) 876-8900
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateSeptember 3, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2021
✔ NPI 1376994780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
4240 AUBURN WAY N, Auburn, WA 98002
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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.

PATRICIA LAVONNE DICKERSON BA, AAC
Counselor (Mental Health)
4240 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-8900
SARAH JANE DURHAM LMHC
Counselor (Mental Health)
4240 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-8900
GLORIA BRIM
Counselor (Mental Health)
4240 AUBURN WAY N
AUBURN, WA 98002
King County (253) 981-4233
ADAJE ELLISON
Counselor (Mental Health)
4240 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-8900
JOSUE MANUEL RIVERA
Counselor
4240 AUBURN WAY N
AUBURN, WA 98002
King County (206) 901-2000
KRISTI A FLYNN
Counselor (Addiction (Substance Use Disorder))
4240 AUBURN WAY N, SOUND MENTAL HEALTH
AUBURN, WA 98002
King County (253) 876-8900
MS. DEBORAH JEAN COLVIN CDPT
Counselor (Professional)
4240 AUBURN WAY N, SOUND MENTAL HEALTH
AUBURN, WA 98002
King County (253) 876-8900
MICHAEL JAMES ROBERTS JR.
Counselor
4240 AUBURN WAY N
AUBURN, WA 98002
King County (532) 876-8900

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 Desiree Petersen's NPI number?

The NPI number for Desiree Petersen is 1376994780. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Desiree Petersen located?

Desiree Petersen practices at 4240 Auburn Way N, Auburn, WA 98002. The listed phone number is (253) 876-8900.

What is Desiree Petersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Desiree Petersen was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.