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KIMBERLY ROSE PETERSON LMSW
NPI 1467955724
Counselor - Mental Health in Canandaigua, NY

Active since March 13, 2018
400 FORT HILL AVE, CANANDAIGUA, NY 14424(585) 615-0183 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Mar 17, 2018 (2 updates tracked since 2018).

About Kimberly Rose Peterson Lmsw NPPES

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

KIMBERLY ROSE PETERSON LMSW (NPI 1467955724) is an individual mental health provider in Canandaigua, New York, licensed in New York (100075) and active in the NPI registry since March 2018. She maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1467955724
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ROSE PETERSONCredential: LMSW
Location Address400 FORT HILL AVECanandaigua, NY 14424-1159
Mailing Address400 Fort Hill AveCanandaigua, NY 14424-1159 · (585) 615-0183
Phone(585) 615-0183
Sole ProprietorYes
Enumeration DateMarch 13, 2018
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1467955724 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 NY · 100075
400 FORT HILL AVE, Canandaigua, NY 14424
Open in Google Maps ↗

Secondary Practice Location 1

Location 111 Spencer LnStony Brook, NY 11790-3122 · Phone (631) 332-9286

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. MELISSA ANN MURREY R.D.
Dietitian, Registered
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7770
MRS. AMANDA JOY WESTBAY-ROOD LMSW
Social Worker (Clinical)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
MISSELLE LAVONNE JEFFCOAT LPMHC, LPC, MS
Counselor (Mental Health)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7218
DR. BUM SUCK LEE MD
Urology
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7276
MRS. LUCY ZABELLE STOYLES N.P.
Nurse Practitioner (Family)
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
JARED OSBORNE
Nurse's Aide
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 394-2000
MRS. CAROL ANN COURTNEY CTRS
Recreation Therapist
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7798
DR. KATHRYN ANN DONOGHUE PHARM.D.
Pharmacist
400 FORT HILL AVE
CANANDAIGUA, NY 14424
Ontario County (585) 393-7114

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 Kimberly Peterson's NPI number?

The NPI number for Kimberly Peterson is 1467955724. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Kimberly Peterson located?

Kimberly Peterson practices at 400 Fort Hill Ave, Canandaigua, NY 14424. The listed phone number is (585) 615-0183.

What is Kimberly Peterson'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 Kimberly Peterson was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.