ROXANNE S PETERSON NPI 1659603686

NPI Information

  • NPI: 1659603686
  • Provider Name: ROXANNE S PETERSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 615 SHORT ST
    STEILACOOM, WA
    ZIP 98388
  • Phone: (253) 221-6789

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NPI Details

Roxanne S Peterson is a mental health counselor in Steilacoom, WA. Roxanne S Peterson NPI is 1659603686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 SHORT ST
STEILACOOM, WA
ZIP 98388-115
Phone: (253) 221-6789
Fax: (253) 584-8046

The NPI 1659603686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/1/2010 and was last updated on 8/7/2024.

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
1163W00000XRegistered NurseRN00063729WASHINGTONNo
2101YM0800XCounselorMental HealthLHWASHINGTONYes

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
1RN00063729OTHERWASHINGTONLICENSE
2LH60088357OTHERWASHINGTONLICENSE

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: 3/30/2025

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