EMILY JOAN PETERSON
NPI 1912858127
Counselor - Professional in Grand Rapids, MN
About Emily Joan Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY JOAN PETERSON (NPI 1912858127) is an individual professional provider in Grand Rapids, Minnesota, licensed in Minnesota (5437) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Joan Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emily Peterson's NPI number?
The NPI number for Emily Peterson is 1912858127. It was assigned to this individual provider in the NPPES registry on February 4, 2026.
Where is Emily Peterson located?
Emily Peterson practices at 217 NW 1st Ave, Grand Rapids, MN 55744. The listed phone number is (218) 360-1800.
What is Emily Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Emily Peterson enrolled in Medicare?
Yes. Emily Peterson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Emily Peterson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.
# Emily Joan Peterson · NPI 1912858127
Professional provider in Grand Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since February 4, 2026.
## Identity
- **NPI:** 1912858127 (Entity type: Individual)
- **Enumerated:** February 4, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5437 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 217 NW 1ST AVE, Grand Rapids, MN 55744-2702
- **Phone:** (218) 360-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912858127) · Data from the CMS NPPES public registry.