JERI L PETERSEN LPC
NPI 1619199205
Counselor - Professional in Jacksonville, NC

Active since May 03, 2007
200 TARPON TRL, JACKSONVILLE, NC 28546(910) 938-1114 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeri L Petersen Lpc NPPES

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

JERI L PETERSEN LPC (NPI 1619199205) is an individual professional provider in Jacksonville, North Carolina, licensed in North Carolina (6492) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1619199205
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJERI L PETERSENCredential: LPC
Location Address200 TARPON TRLJacksonville, NC 28546-5287
Mailing Address200 Tarpon TrlJacksonville, NC 28546-5287 · (910) 938-1114
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 4, 2013
NPI 1619199205 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 NC · 6492
200 TARPON TRL, Jacksonville, NC 28546

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.

Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Nurse Practitioner (Psychiatric/Mental Health)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
200 TARPON TRL
JACKSONVILLE, NC 28546

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 Jeri Petersen's NPI number?

The NPI number for Jeri Petersen is 1619199205. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jeri Petersen located?

Jeri Petersen practices at 200 Tarpon Trl, Jacksonville, NC 28546. The listed phone number is (910) 938-1114.

What is Jeri Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeri Petersen was last updated on April 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.