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HOLLY PETERSEN
NPI 1760806103
Marriage & Family Therapist in Long Island City, NY

Active since February 05, 2014
1143 47TH AVE, LONG ISLAND CITY, NY 11101(631) 880-0644 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Petersen NPPES

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

HOLLY PETERSEN (NPI 1760806103) is an individual marriage & family therapist in Long Island City, New York, licensed in New York (085016) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1760806103
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHOLLY PETERSEN
Location Address1143 47TH AVELong Island City, NY 11101-5465
Mailing Address3127 36th St, Apt 1Astoria, NY 11106-1001 · (631) 880-0644
Phone(631) 880-0644
Sole ProprietorNo
Enumeration DateFebruary 5, 2014
✔ NPI 1760806103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · 085016
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1143 47TH AVE, Long Island City, NY 11101
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Other Providers at the Same Location NPPES 5

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

JACQUELINE NICHOLS-JEUNE
Community/Behavioral Health
1143 47TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 551-3529
CHERYLEE POTTINGER
Social Worker
1143 47TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 551-3559
MEGHAN COLLEEN MACKOWIAK CPNP
Nurse Practitioner (Pediatrics)
1143 47TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 551-3515
MINERVA MORALES
Social Worker
1143 47TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 551-3548
MS. JESSICA SUZANNE KOHOUTEK CPNP, RN
Nurse Practitioner (Pediatrics)
1143 47TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 551-3515

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 Holly Petersen's NPI number?

The NPI number for Holly Petersen is 1760806103. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Holly Petersen located?

Holly Petersen practices at 1143 47th Ave, Long Island City, NY 11101. The listed phone number is (631) 880-0644.

What is Holly Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Holly Petersen was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.