AMY PETERSON LPC-IT
NPI 1679110779
Counselor - Professional in Mount Pleasant, WI

Active since December 08, 2019
6233 DURAND AVE STE F, MOUNT PLEASANT, WI 53406(262) 554-8165 Get Directions Write a Review

NPPES record last updated: December 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Peterson Lpc-it NPPES

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

AMY PETERSON LPC-IT (NPI 1679110779) is an individual professional provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (4510226) and active in the NPI registry since December 2019. She maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1679110779
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY PETERSONCredential: LPC-IT
Location Address6233 DURAND AVE STE FMount Pleasant, WI 53406-4961
Mailing Address6905 Bobolink RdRacine, WI 53402-1344 · (262) 221-7200
Sole ProprietorNo
Enumeration DateDecember 8, 2019
NPI 1679110779 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 WI · 4510226
6233 DURAND AVE STE F, Mount Pleasant, WI 53406

Secondary Practice Location 1

Location 16233 Durand Ave Ste FMount Pleasant, WI 53406-4961 · Phone (262) 554-8165

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 Amy Peterson's NPI number?

The NPI number for Amy Peterson is 1679110779. It was assigned to this individual provider in the NPPES registry on December 8, 2019.

Where is Amy Peterson located?

Amy Peterson practices at 6233 Durand Ave Ste F, Mount Pleasant, WI 53406. The listed phone number is (262) 554-8165.

What is Amy Peterson'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 Amy Peterson was last updated on December 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.