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TIA PETERSON
NPI 1972974293
Counselor - Mental Health in Central Point, OR

Active since October 13, 2015
655 N 3RD ST, CENTRAL POINT, OR 97502(541) 494-6323(541) 494-6381 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Mar 19, 2020, Oct 16, 2017 (3 updates tracked since 2017).

About Tia Peterson NPPES

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

TIA PETERSON (NPI 1972974293) is an individual mental health provider in Central Point, Oregon, licensed in Oregon (L7989) and active in the NPI registry since October 2015. She maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1972974293
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIA PETERSON
Location Address655 N 3RD STCentral Point, OR 97502-1876
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239
Phone(541) 494-6323
Fax(541) 494-6381
Sole ProprietorNo
Enumeration DateOctober 13, 2015
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1972974293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L7989
655 N 3RD ST, Central Point, OR 97502
Open in Google Maps ↗

Other Names 1

Former Name (1)Tia Khachitphet

Secondary Practice Location 1

Location 1624 S Ivy StMedford, OR 97501-3517 · Phone (541) 261-4633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6323
MRS. BRITTANY JACQUELYN ELMORE ATC
Specialist/Technologist (Athletic Trainer)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 630-0705
KATHERIN NANI KAI FIORI MCKINNON
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239
MARC CHRISTOPHER HARNEN
Counselor (Addiction (Substance Use Disorder))
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239
JOY LOTUS
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6323
VICTORIA BENCOMO
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6323
SAMANTHA DREWES
Specialist/Technologist (Athletic Trainer)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 494-6300
MRS. SUMMER DAWN KNITTER MSW
Counselor (Mental Health)
655 N 3RD ST
CENTRAL POINT, OR 97502
Jackson County (541) 535-6239

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 Tia Peterson's NPI number?

The NPI number for Tia Peterson is 1972974293. It was assigned to this individual provider in the NPPES registry on October 13, 2015. The provider is also known as Tia Khachitphet.

Where is Tia Peterson located?

Tia Peterson practices at 655 N 3rd St, Central Point, OR 97502. The listed phone number is (541) 494-6323.

What is Tia Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Tia Peterson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Tia 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 Tia Peterson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.