MARY PETERSEN
NPI 1417306267
Counselor - Mental Health in Orlando, FL

Q: What is Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1417306267. It was assigned to this individual provider in the NPPES registry on June 11, 2016.

Q: What is Mary Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Petersen was last updated on June 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 11, 2016

13561 LAKES WAY, ORLANDO, FL 32828(407) 388-8305 Get Directions Write a Review

NPPES record last updated: June 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Petersen NPPES

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

MARY PETERSEN (NPI 1417306267) is an individual mental health provider in Orlando, Florida, licensed in Florida (IMH12418) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1417306267

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY PETERSEN

Location Address13561 LAKES WAYOrlando, FL 32828-8154

Mailing Address13561 Lakes WayOrlando, FL 32828-8154 · (407) 388-8305

Phone(407) 388-8305

Sole ProprietorNo

Enumeration DateJune 11, 2016

✔ NPI 1417306267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH12418

13561 LAKES WAY, Orlando, FL 32828

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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 Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1417306267. It was assigned to this individual provider in the NPPES registry on June 11, 2016.

Where is Mary Petersen located?

Mary Petersen practices at 13561 Lakes Way, Orlando, FL 32828. The listed phone number is (407) 388-8305.

What is Mary Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Petersen was last updated on June 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.