1. Home
  2. Directory
  3. Washington
  4. Mill Creek
  5. Counselor
  6. NPI Profile

JEREMY HAYDEN PETERSEN
NPI 1730034877
Counselor - Mental Health in Mill Creek, WA

Active since March 03, 2026
16000 BOTHELL EVERETT HWY STE 360, MILL CREEK, WA 98012(425) 357-9111 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2026, Mar 3, 2026 (2 updates tracked since 2026).

About Jeremy Hayden Petersen NPPES

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

JEREMY HAYDEN PETERSEN (NPI 1730034877) is an individual mental health provider in Mill Creek, Washington, licensed in Washington (MHCA.MC.70074370) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1730034877
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY HAYDEN PETERSEN
Location Address16000 BOTHELL EVERETT HWY STE 360Mill Creek, WA 98012-1577
Mailing Address16000 Bothell Everett Hwy Ste 360Mill Creek, WA 98012-1577 · (928) 310-6580
Phone(425) 357-9111
Sole ProprietorNo
Enumeration DateMarch 3, 2026
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1730034877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MHCA.MC.70074370
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDPT.CO.70092032 (WA)
16000 BOTHELL EVERETT HWY STE 360, Mill Creek, WA 98012
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

HOORIA TARIQ MA, LMHCA
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
SHOBHNA WADHWA MS
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
SAMANTHA ANN MOORE
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
TARA MARIE YARTE M.S.
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
JENNIFER HAYSE
Marriage & Family Therapist
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
BRIDGETT BODINE
Marriage & Family Therapist
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
CHRISTOPHER KAPETANOV ACMHC
Counselor (Mental Health)
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 357-9111
DANIELLE BEST
Marriage & Family Therapist
16000 BOTHELL EVERETT HWY STE 360
MILL CREEK, WA 98012
Snohomish County (425) 319-4016

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 Jeremy Petersen's NPI number?

The NPI number for Jeremy Petersen is 1730034877. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Jeremy Petersen located?

Jeremy Petersen practices at 16000 Bothell Everett Hwy Ste 360, Mill Creek, WA 98012. The listed phone number is (425) 357-9111.

What is Jeremy 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 Jeremy Petersen was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.