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CANDICE PETERSON LADC, LAMFT
NPI 1902362189
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since February 13, 2019
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404(612) 235-4692 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2020, Feb 13, 2019 (2 updates tracked since 2019).

About Candice Peterson Ladc, Lamft NPPES

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

CANDICE PETERSON LADC, LAMFT (NPI 1902362189) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (304060) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1902362189
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCANDICE PETERSONCredential: LADC, LAMFT
Location Address2118 BLAISDELL AVEMinneapolis, MN 55404-2415
Mailing Address2118 Blaisdell AveMinneapolis, MN 55404-2415
Phone(612) 235-4692
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1902362189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 304060
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3800 (MN)
2118 BLAISDELL AVE, Minneapolis, MN 55404
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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.

KRISTIN JUNTUNEN MA, LADC, LPCC
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4581
HANS HAGGE
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 204-3131
FADUMO ALI
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (763) 742-9250
MISS CALISSA KATHLEEN PLOCHARSKI LADC
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4501
DANIELLE ROSE JOHNSON LPCC, LADC
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 964-3728
SIRI TS EIDSMO
Social Worker
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 201-2758
MRS. SHIRLEY R BENSON-ROGERS MS, LADC
Counselor (Professional)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-6259
MORGAN MURASKI LADC
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4677

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 Candice Peterson's NPI number?

The NPI number for Candice Peterson is 1902362189. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Candice Peterson located?

Candice Peterson practices at 2118 Blaisdell Ave, Minneapolis, MN 55404. The listed phone number is (612) 235-4692.

What is Candice 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 Candice Peterson was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.