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MRS. KIMBERLY PAVICH PETERSON
NPI 1508307836
Counselor in San Diego, CA

Active since March 20, 2017
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120(760) 815-8994 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Pavich Peterson NPPES

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

MRS. KIMBERLY PAVICH PETERSON (NPI 1508307836) is an individual counselor in San Diego, California and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1508307836
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KIMBERLY PAVICH PETERSON
Location Address6160 MISSION GORGE RD STE 108San Diego, CA 92120-3425
Mailing Address13861 Otis PlPoway, CA 92064-4833 · (760) 815-8994
Phone(760) 815-8994
Sole ProprietorYes
Enumeration DateMarch 20, 2017
Last NPPES UpdateMarch 24, 2017
✔ NPI 1508307836 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.
6160 MISSION GORGE RD STE 108, San Diego, CA 92120
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Other Names 1

Other Name (5)Kimber Pavich Peterson

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.

ALEXIS LOPEZ
Social Worker (Clinical)
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
MS. ANJELIKA LEIGH FERGERSON
Case Manager/Care Coordinator
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
VERTA SADLER
Counselor
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
ANGELICA ELISE BOYLES
Case Manager/Care Coordinator
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
GREGORY LAUBACH
Adult Companion
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
CRIS OSBERTO LIRA
Rehabilitation Practitioner
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
CHRISTOPHER HAWKINS
Counselor
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
RAE STEVENS
Marriage & Family Therapist
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200

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 1508307836. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Kimber Pavich Peterson.

Where is Kimberly Peterson located?

Kimberly Peterson practices at 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120. The listed phone number is (760) 815-8994.

What is Kimberly 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 Kimberly Peterson was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.