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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEATON PETERSON
NPI 1780590422
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Active since August 21, 2026
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 382-7746 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keaton Peterson NPPES

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

KEATON PETERSON (NPI 1780590422) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1780590422
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKEATON PETERSON
Location Address2121 W CHARLESTON BLVDLas Vegas, NV 89102-2205
Mailing Address321 E Jaybird StPahrump, NV 89048-6707 · (775) 505-4145
Phone(702) 382-7746
Sole ProprietorNo
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1780590422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2121 W CHARLESTON BLVD, Las Vegas, NV 89102
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Other Providers at the Same Location NPPES 20

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

ROBERT SOUCY LPC, LCPC, LPCC
Counselor (Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
NICHOLE MICHELLE MCDERMOTT CADC-I
Counselor
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
CHARLESTON RESIDENTIAL SERVICES LLC
Assisted Living Facility
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
KEVIN JAMES GALL PRSS
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JAMIE LEIGH HATFIELD
Peer Specialist
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
MRS. RODNESHIA COLEMAN CADC-I
Counselor (Addiction (Substance Use Disorder))
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746
JUSTIN MARTIN LCSW
Social Worker (Clinical)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 727-4360
DAVID ALLAN BOYLE APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
2121 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 382-7746

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 Keaton Peterson's NPI number?

The NPI number for Keaton Peterson is 1780590422. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Keaton Peterson located?

Keaton Peterson practices at 2121 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 382-7746.

What is Keaton Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Keaton Peterson was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.