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MICHAEL STEPHEN PETERSEN
NPI 1871257535
Peer Specialist in Concord, CA

Active since October 28, 2021
2425 BISSO LN STE 100, CONCORD, CA 94520(925) 500-3093 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, May 17, 2023 (2 updates tracked since 2023).

About Michael Stephen Petersen NPPES

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

MICHAEL STEPHEN PETERSEN (NPI 1871257535) is an individual peer specialist in Concord, California, licensed in California (MPSS-DWMIVN) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1871257535
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL STEPHEN PETERSEN
Location Address2425 BISSO LN STE 100Concord, CA 94520-4817
Mailing AddressPo Box 21352Concord, CA 94521-0352 · (925) 826-9640
Phone(925) 500-3093
Sole ProprietorNo
Enumeration DateOctober 28, 2021
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1871257535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-DWMIVN
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
2425 BISSO LN STE 100, Concord, CA 94520
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Other Providers at the Same Location NPPES 19

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

SHAD'E ANGELA PINKINS
Social Worker
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5628
THERICAR MALANG
Registered Nurse
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
NAOMI BAREKET
Student in an Organized Health Care Education/Training Program
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
MICHELLE RICHARDSON M.F.T.
Marriage & Family Therapist
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5655
MRS. DENISE TARVINS LMFT 107650
Marriage & Family Therapist
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
STEPHEN PATRICK TRUSH
Marriage & Family Therapist
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5620
ETELVINA ANDERSON AMFT
Marriage & Family Therapist
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (510) 207-8150
MRS. HEATHER SWEETEN-HEALY LCSW
Social Worker (Clinical)
2425 BISSO LN STE 100
CONCORD, CA 94520
Contra Costa County (925) 521-5655

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1871257535. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Michael Petersen located?

Michael Petersen practices at 2425 Bisso Ln Ste 100, Concord, CA 94520. The listed phone number is (925) 500-3093.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.