KOURTNEY RAE PETERSON
NPI 1669170544
Counselor - Mental Health in Cathlamet, WA

Q: What is Kourtney Peterson's NPI number?

The NPI number for Kourtney Peterson is 1669170544. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Q: What is Kourtney Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kourtney Peterson was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 February 20, 2023

500 S 3RD ST, CATHLAMET, WA 98612(253) 720-1496 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kourtney Rae Peterson NPPES

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

KOURTNEY RAE PETERSON (NPI 1669170544) is an individual mental health provider in Cathlamet, Washington, licensed in Washington (101YM0800X) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1669170544

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKOURTNEY RAE PETERSON

Location Address500 S 3RD STCathlamet, WA 98612-9861

Mailing Address2500 Ne 65th AveVancouver, WA 98661-6812

Phone(253) 720-1496

Sole ProprietorYes

Enumeration DateFebruary 20, 2023

NPPES CertifiedFebruary 15, 2023

✔ NPI 1669170544 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 WA · 101YM0800X

500 S 3RD ST, Cathlamet, WA 98612

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kourtney Peterson's NPI number?

The NPI number for Kourtney Peterson is 1669170544. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Kourtney Peterson located?

Kourtney Peterson practices at 500 S 3rd St, Cathlamet, WA 98612. The listed phone number is (253) 720-1496.

What is Kourtney Peterson'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 Kourtney Peterson was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.