JENNIFER MARIE PETERSON MA, LADC
NPI 1396347423
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since November 13, 2020
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104(612) 286-1407 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Marie Peterson Ma, Ladc NPPES

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

JENNIFER MARIE PETERSON MA, LADC (NPI 1396347423) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (305381) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1396347423
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER MARIE PETERSONCredential: MA, LADC
Location Address1246 UNIVERSITY AVE WSaint Paul, MN 55104-4125
Mailing Address1246 University Ave WSaint Paul, MN 55104-4125 · (612) 286-1407
Sole ProprietorNo
Enumeration DateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
NPI 1396347423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 305381
1246 UNIVERSITY AVE W, Saint Paul, MN 55104

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 (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Mental Health)
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Mental Health)
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Addiction (Substance Use Disorder))
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104

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 Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1396347423. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Jennifer Peterson located?

Jennifer Peterson practices at 1246 University Ave W, Saint Paul, MN 55104. The listed phone number is (612) 286-1407.

What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Peterson was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.