Jessica M Peterson
Counselor, Mental Health in Sagamore, Massachusetts
1194292805- Practice location
- 4 Garfield Ave, Sagamore, MA 02561-0718
- Phone
- 774-994-2928
- Fax
- —
- Last updated
- May 11, 2020
Jessica Marie Peterson is a Counselor, Mental Health based in Sagamore, MA. Jessica Marie Peterson practices in Sagamore, MA. The NPI Number for Jessica Marie Peterson is 1194292805. The current practice location address for Jessica Marie Peterson is 4 Garfield Ave, Sagamore, MA 02561-0718 and can be reached out via phone at 774-994-2928.
Provider Profile Details
- NPI Number
- 1194292805
- Provider Name
- Jessica Marie Peterson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Garfield Ave, Sagamore, MA 02561-0718
- Phone Number
- 774-994-2928
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Other Names
- Jessica Marie Peterson (Professional Name)
- Provider Enumeration Date
- October 31, 2018
- Last Update Date
- May 11, 2020
- Certification Date
- May 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Garfield Ave
Sagamore, MA 02561-0718 - City
- Sagamore
- State
- Massachusetts
- Zip
- 02561-0718
- Phone Number
- 774-994-2928
Provider Business Mailing Address Details
- Address
- Po Box 718
Sagamore, MA 02561-0718 - City
- Sagamore
- State
- MA
- Zip
- 02561-0718
- Phone Number
- 774-994-2928
License Information
- License State (1)
- MA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica M Peterson?
The NPI number of Jessica M Peterson is 1194292805. It was assigned on October 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Jessica M Peterson?
Jessica M Peterson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jessica M Peterson practice?
The practice location is 4 Garfield Ave, Sagamore, MA 02561-0718. The office can be reached at 774-994-2928 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194292805 directly on the NPPES registry website.