KIM PETERSON LADC
NPI 1902015696
Counselor - Addiction (Substance Use Disorder) in Oklahoma City, OK

Active since May 21, 2007
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103(405) 272-0660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kim Peterson Ladc NPPES

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

KIM PETERSON LADC (NPI 1902015696) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma, licensed in Oklahoma (117) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1902015696
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIM PETERSONCredential: LADC
Location Address1140 N HUDSON AVEOklahoma City, OK 73103-3918
Mailing Address4436 Nw 50th StOklahoma City, OK 73112-2212
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902015696 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
License Licensed in OK · 117
1140 N HUDSON AVE, Oklahoma City, OK 73103

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.

Counselor (Mental Health)
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Counselor (Mental Health)
1140 N HUDSON AVE, ROOM 216
OKLAHOMA CITY, OK 73103
Psychiatry & Neurology (Psychiatry)
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Counselor
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Counselor
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Counselor (Mental Health)
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Counselor
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103
Psychiatry & Neurology (Psychiatry)
1140 N HUDSON AVE
OKLAHOMA CITY, OK 73103

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 Kim Peterson's NPI number?

The NPI number for Kim Peterson is 1902015696. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kim Peterson located?

Kim Peterson practices at 1140 N Hudson Ave, Oklahoma City, OK 73103. The listed phone number is (405) 272-0660.

What is Kim 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 Kim Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.