1. Home
  2. Directory
  3. Minnesota
  4. Breckenridge
  5. Counselor
  6. NPI Profile

MS. MATA MARIE PETERSON LSW, LADC
NPI 1710320890
Counselor - Addiction (Substance Use Disorder) in Breckenridge, MN

Active since April 09, 2013
227 6TH ST N, BRECKENRIDGE, MN 56520(701) 640-8915 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2020, Mar 17, 2018, Dec 10, 2017 (3 updates tracked since 2017).

About Ms. Mata Marie Peterson Lsw, Ladc NPPES

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

MS. MATA MARIE PETERSON LSW, LADC (NPI 1710320890) is an individual addiction (substance use disorder) provider in Breckenridge, Minnesota, licensed in Minnesota (301596) and active in the NPI registry since April 2013. She maintains a secondary practice location in Breckenridge.

NPPES Registry Identity

NPI1710320890
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MATA MARIE PETERSONCredential: LSW, LADC
Location Address227 6TH ST NBreckenridge, MN 56520-1503
Mailing AddressPo Box 703Fergus Falls, MN 56538-0703 · (701) 640-8915 · Fax (218) 643-7175
Phone(701) 640-8915
Sole ProprietorNo
Enumeration DateApril 9, 2013
Last NPPES UpdateMay 21, 20203 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1710320890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 301596
Also ListedSocial WorkerTaxonomy 104100000X · License 15452 (MN)
227 6TH ST N, Breckenridge, MN 56520
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 St. Francis Drive, St. Francis Medical CenterBreckenridge, MN 56520-1802 · Phone (218) 643-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

LIFE TRANSFORMATIONS
Counselor (Addiction (Substance Use Disorder))
227 6TH ST N
BRECKENRIDGE, MN 56520
Wilkin County (701) 640-8915
WILKIN COUNTY FAMILY SERVICES
Public Health or Welfare
227 6TH ST N
BRECKENRIDGE, MN 56520
Wilkin County (218) 643-7161

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 Mata Peterson's NPI number?

The NPI number for Mata Peterson is 1710320890. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Mata Peterson located?

Mata Peterson practices at 227 6th St N, Breckenridge, MN 56520. The listed phone number is (701) 640-8915.

What is Mata Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Mata Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Mata Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mata Peterson was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.