SANDRA PETERSEN
NPI 1568916260
Marriage & Family Therapist in Saint George, UT

Q: What is Sandra Petersen's NPI number?

The NPI number for Sandra Petersen is 1568916260. It was assigned to this individual provider in the NPPES registry on August 10, 2016. The provider is also known as Sandra Cecilia Peraza -Dominguez.

Q: What is Sandra Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Petersen was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 10, 2016PECOS Enrolled

474 W 200 N, SAINT GEORGE, UT 84770(435) 634-5600(435) 634-8700 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2024, Jul 2, 2020, Oct 19, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Sandra Petersen NPPES

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

SANDRA PETERSEN (NPI 1568916260) is an individual marriage & family therapist in Saint George, Utah, licensed in Utah (10254931-3902) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568916260

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSANDRA PETERSEN

Location Address474 W 200 NSaint George, UT 84770-4505

Mailing Address474 W 200 N Ste 300St George, UT 84770-4505 · (435) 634-5600 · Fax (435) 634-8700

Phone(435) 634-5600

Fax(435) 634-8700

Sole ProprietorNo

Enumeration DateAugust 10, 2016

Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1568916260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in UT · 10254931-3902

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

474 W 200 N, Saint George, UT 84770

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Other Names 1

Former Name (1)Sandra Cecilia Peraza -dominguez

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Petersen 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 20

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

MICHAEL JESSE EVES

Case Manager/Care Coordinator

474 W 200 N
SAINT GEORGE, UT 84770

Washington County (435) 634-5600

AIMEE KAY CHRISTINE ADAMS

Technician, Other

474 W 200 N
ST GEORGE, UT 84770

Washington County (435) 634-5600

JOSIE ETHINGTON

Substance Abuse Rehabilitation Facility

474 W 200 N
ST GEORGE, UT 84770

Washington County (435) 634-5600

PAIGE CHANTELL STEVENSON

Technician, Other

474 W 200 N
SAINT GEORGE, UT 84770

Washington County (435) 634-5672

VIOLET THERESA FANO

Case Manager/Care Coordinator

474 W 200 N
ST GEORGE, UT 84770

Washington County (435) 634-5600

KARYN BURTON

Technician, Other

474 W 200 N, SUITE 100
ST. GEORGE, UT 84770

Washington County (435) 634-5600

BLAINE LADD

Technician, Other

474 W 200 N
SAINT GEORGE, UT 84770

Washington County (435) 634-5660

JO ANN M DIETZEL

Technician, Other

474 W 200 N, STE#300
ST GEORGE, UT 84770

Washington County (435) 634-5600

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 Sandra Petersen's NPI number?

The NPI number for Sandra Petersen is 1568916260. It was assigned to this individual provider in the NPPES registry on August 10, 2016. The provider is also known as Sandra Cecilia Peraza -Dominguez.

Where is Sandra Petersen located?

Sandra Petersen practices at 474 W 200 N, Saint George, UT 84770. The listed phone number is (435) 634-5600.

What is Sandra Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sandra Petersen enrolled in Medicare?

Yes. Sandra Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Petersen was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.