MS. REKETTA PETERSON
NPI 1972006435
Counselor - Professional in Fairbanks, AK

Active since March 12, 2018
3875 GEIST RD STE E190, FAIRBANKS, AK 99709(844) 942-2434 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2020, Mar 12, 2018 (2 updates tracked since 2018).

About Ms. Reketta Peterson NPPES

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

MS. REKETTA PETERSON (NPI 1972006435) is an individual professional provider in Fairbanks, Alaska, licensed in Georgia (APC006265) and active in the NPI registry since March 2018. She maintains a secondary practice location in Fairbanks.

NPPES Registry Identity

NPI1972006435
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. REKETTA PETERSON
Location Address3875 GEIST RD STE E190Fairbanks, AK 99709-3564
Mailing Address1423 Peger RdFairbanks, AK 99709-5169 · (907) 971-1300
Sole ProprietorNo
Enumeration DateMarch 12, 2018
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1972006435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · APC006265
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 164379 (AK)
3875 GEIST RD STE E190, Fairbanks, AK 99709

Secondary Practice Location 1

Location 11423 Peger RdFairbanks, AK 99709-5169 · Phone (907) 371-1300

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3875 GEIST RD STE E190
FAIRBANKS, AK 99709

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 Reketta Peterson's NPI number?

The NPI number for Reketta Peterson is 1972006435. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Reketta Peterson located?

Reketta Peterson practices at 3875 Geist Rd Ste E190, Fairbanks, AK 99709. The listed phone number is (844) 942-2434.

What is Reketta Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Reketta Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Reketta Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reketta Peterson was last updated on September 10, 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.