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RAY ALBERT PETERSEN ACMHC
NPI 1639977317
Counselor - Mental Health in Salt Lake City, UT

Active since March 06, 2025
1095 N TAFFETA DR, SALT LAKE CITY, UT 84116(385) 743-2444 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ray Albert Petersen Acmhc NPPES

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

RAY ALBERT PETERSEN ACMHC (NPI 1639977317) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (14207610-6009) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639977317
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRAY ALBERT PETERSENCredential: ACMHC
Location Address1095 N TAFFETA DRSalt Lake City, UT 84116-1740
Mailing Address1095 N Taffeta DrSalt Lake City, UT 84116-1740 · (385) 743-2444
Phone(385) 743-2444
Sole ProprietorNo
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1639977317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 14207610-6009
1095 N TAFFETA DR, Salt Lake City, UT 84116
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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 Ray Petersen's NPI number?

The NPI number for Ray Petersen is 1639977317. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Ray Petersen located?

Ray Petersen practices at 1095 N Taffeta Dr, Salt Lake City, UT 84116. The listed phone number is (385) 743-2444.

What is Ray Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ray Petersen was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.