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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ERIC RICHARD PETERSEN
NPI 1639004443
Peer Specialist in Menasha, WI

Active since June 15, 2026
1476 KENWOOD DR STE 101, MENASHA, WI 54952(920) 284-7950 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Richard Petersen NPPES

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

ERIC RICHARD PETERSEN (NPI 1639004443) is an individual peer specialist in Menasha, Wisconsin and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639004443
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameERIC RICHARD PETERSEN
Location Address1476 KENWOOD DR STE 101Menasha, WI 54952-1134
Mailing Address415 E Doty AveNeenah, WI 54956-2975 · (920) 284-7950
Phone(920) 284-7950
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1639004443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1476 KENWOOD DR STE 101, Menasha, WI 54952
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Other Providers at the Same Location NPPES 9

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

DAVIAN WILLEMS
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 264-5564
MRS. KIRSTEN ALEXANDRA SIEMERS
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
EMILY SPRISTER
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
NICHOLAS JOHANNES
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
SHARON ANN FROSETH BCABA
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
JACOB GEVERS
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
ERIC BLAZEL
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950
NICOLE MEYERS
Peer Specialist
1476 KENWOOD DR STE 101
MENASHA, WI 54952
Calumet County (920) 284-7950

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 Eric Petersen's NPI number?

The NPI number for Eric Petersen is 1639004443. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Eric Petersen located?

Eric Petersen practices at 1476 Kenwood Dr Ste 101, Menasha, WI 54952. The listed phone number is (920) 284-7950.

What is Eric Petersen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Eric Petersen was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.