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Provider Profile

Jon W. Petersen, MA, M.ED, LPCC, CMHC

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At a glance

About Jon Petersen

Listed in the NPI registry as a mental health counselor, Jon W. Petersen, MA, M.ED, LPCC, CMHC practices in Saint Louis Park, MN. Jon is also listed as specializing in professional counselor. NPI 1831735141 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2012

Specialty

Credentials & Licensing

MN licenceAs reported to the NPI registry
No. 2463As reported
UT licenceAs reported to the NPI registry
No. 12348521-6004As reported
NPINational Provider Identifier
1831735141Issued 2019

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jon W. Petersen, MA, M.ED, LPCC specialize in?

Jon W. Petersen, MA, M.ED, LPCC is a mental health counselor in Saint Louis Park, MN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jon W. Petersen, MA, M.ED, LPCC located?

Jon W. Petersen, MA, M.ED, LPCC is listed at 1155 Ford Rd Ste B, Saint Louis Park, MN 55426. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jon W. Petersen, MA, M.ED, LPCC's phone number?

The number on file is (952) 378-1800. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jon W. Petersen, MA, M.ED, LPCC?

Jon W. Petersen, MA, M.ED, LPCC's National Provider Identifier is 1831735141. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jon W. Petersen, MA, M.ED, LPCC train?

Jon W. Petersen, MA, M.ED, LPCC attended Other, graduating in 2012. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jon W. Petersen, MA, M.ED, LPCC have?

Jon W. Petersen, MA, M.ED, LPCC has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.

CMS public data

Is Jon W. Petersen, MA, M.ED, LPCC's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jon W. Petersen, MA, M.ED, LPCC. If this is you, claiming it is free.

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