MR. TIMOTHY JAMES PETERSON MA LMHCA NPI 1992189328

NPI Information

NPI: 1992189328
Provider Name: MR. TIMOTHY JAMES PETERSON, MA, LMHCA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
25819 174TH ST SE
MONROE, WA
ZIP 98272
Phone: (732) 233-1898
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MR. Timothy James Peterson, MA, LMHCA is a mental health counselor in Monroe, WA. MR. Timothy James Peterson, MA, LMHCA NPI is 1992189328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25819 174TH ST SE
MONROE, WA
ZIP 98272-360
Phone: (732) 233-1898

The enumeration date for this NPI number is 7/15/2015 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC60568524	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MC 60568524	OTHER	WASHINGTON	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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