JILL MARIE PETERSON
NPI 1508438235
Counselor - Professional in Minneapolis, MN

Active since July 13, 2021PECOS Enrolled
204 W FRANKLIN AVE, MINNEAPOLIS, MN 55404(612) 367-4145 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jul 13, 2021 (2 updates tracked since 2021).

About Jill Marie Peterson NPPES

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

JILL MARIE PETERSON (NPI 1508438235) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (4095) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508438235
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL MARIE PETERSON
Location Address204 W FRANKLIN AVEMinneapolis, MN 55404-2331
Mailing Address1823 14th Ave S Apt 2Minneapolis, MN 55404-2103 · (612) 227-1174
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1508438235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 4095
204 W FRANKLIN AVE, Minneapolis, MN 55404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jill Marie Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Social Worker (Clinical)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Counselor (Mental Health)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Marriage & Family Therapist
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Counselor (Professional)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Social Worker (Clinical)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Counselor (Mental Health)
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404
Marriage & Family Therapist
204 W FRANKLIN AVE
MINNEAPOLIS, MN 55404

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 Jill Peterson's NPI number?

The NPI number for Jill Peterson is 1508438235. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Jill Peterson located?

Jill Peterson practices at 204 W Franklin Ave, Minneapolis, MN 55404. The listed phone number is (612) 367-4145.

What is Jill Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jill Peterson enrolled in Medicare?

Yes. Jill Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Peterson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.