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TIM PETERSON MA
NPI 1497932933
Counselor in South Bend, IN

Active since January 28, 2008
403 E MADISON ST, SOUTH BEND, IN 46617(574) 283-1107(574) 283-1131 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tim Peterson Ma NPPES

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

TIM PETERSON MA (NPI 1497932933) is an individual counselor in South Bend, Indiana and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1497932933
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIM PETERSONCredential: MA
Location Address403 E MADISON STSouth Bend, IN 46617-2322
Mailing Address403 E Madison StSouth Bend, IN 46617-2322 · (574) 283-1107 · Fax (574) 283-1131
Phone(574) 283-1107
Fax(574) 283-1131
Sole ProprietorNo
Enumeration DateJanuary 28, 2008
✔ NPI 1497932933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
403 E MADISON ST, South Bend, IN 46617
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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.

ALICE GOERTZ MSW
Social Worker
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
CHERYL QUIOGUE-HUNT LSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
LAFO ROBBINS MA
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
FAYE PETERSON-POTTINGER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
RACHEL NJUGUNA PHD
Psychologist (Clinical Child & Adolescent)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
MARK V SNELL LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KATHERINE S POWELL MS
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
SARAH A PINTER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107

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 Tim Peterson's NPI number?

The NPI number for Tim Peterson is 1497932933. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Tim Peterson located?

Tim Peterson practices at 403 E Madison St, South Bend, IN 46617. The listed phone number is (574) 283-1107.

What is Tim Peterson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tim Peterson was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.