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

GARY JACK PETERSON LAC-23090
NPI 1952219982
Counselor in Tucson, AZ

Q: What is Gary Peterson's NPI number?

The NPI number for Gary Peterson is 1952219982. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Q: What is Gary Peterson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Peterson was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 31, 2026

6303 E TANQUE VERDE RD STE 210, TUCSON, AZ 85715(520) 423-5600(520) 423-5600 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Gary Jack Peterson Lac-23090 NPPES

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

GARY JACK PETERSON LAC-23090 (NPI 1952219982) is an individual counselor in Tucson, Arizona, licensed in Arizona (LAC-23090) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1952219982

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameGARY JACK PETERSONCredential: LAC-23090

Location Address6303 E TANQUE VERDE RD STE 210Tucson, AZ 85715-3859

Mailing Address3732 Barraco DrSierra Vista, AZ 85650-4208 · Fax (520) 335-7548

Phone(520) 423-5600

Fax(520) 423-5600

Sole ProprietorNo

Enumeration DateAugust 31, 2026

NPPES CertifiedAugust 31, 2026

✔ NPI 1952219982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-23090

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6303 E TANQUE VERDE RD STE 210, Tucson, AZ 85715

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Other Providers at the Same Location NPPES 8

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

STEPHEN ANDREW SCHMIDT

Counselor (Mental Health)