Lisa A Peterson, LMHC LCDP LCDCS MAC
Counselor, Mental Health in Providence, Rhode Island
1962514869- Practice location
- 110 Elmwood Ave, Providence, RI 02907-2423
- Phone
- 401-432-6029
- Fax
- 401-300-5656
- Last updated
- June 10, 2025
Lisa A Peterson is a Counselor, Mental Health based in Providence, RI. Lisa A Peterson practices in Providence, RI and has the professional credentials of LMHC LCDP LCDCS MAC. The NPI Number for Lisa A Peterson is 1962514869 and holds a License No. LCDP00129 (RI). The current practice location address for Lisa A Peterson is 110 Elmwood Ave, Providence, RI 02907-2423 and can be reached out via phone at 401-432-6029 and via fax at 401-300-5656.
Provider Profile Details
- NPI Number
- 1962514869
- Provider Name
- Lisa A Peterson
- Credential
- LMHC LCDP LCDCS MAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 Elmwood Ave, Providence, RI 02907-2423
- Phone Number
- 401-432-6029
- Fax Number
- 401-300-5656
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- June 10, 2025
- Certification Date
- June 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Elmwood Ave
Providence, RI 02907-2423 - City
- Providence
- State
- Rhode Island
- Zip
- 02907-2423
- Phone Number
- 401-432-6029
- Fax Number
- 401-300-5656
Provider Business Mailing Address Details
- Address
- 110 Elmwood Ave
Providence, RI 02907-2423 - City
- Providence
- State
- RI
- Zip
- 02907-2423
- Phone Number
- 401-432-6029
- Fax Number
- 401-300-5656
License Information
- License Number (1)
- LCDP00129
- License State (1)
- RI
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- License Number (2)
- MHC00235
- License State (2)
- RI
- 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 Lisa A Peterson, LMHC LCDP LCDCS MAC?
The NPI number of Lisa A Peterson, LMHC LCDP LCDCS MAC is 1962514869. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa A Peterson, LMHC LCDP LCDCS MAC?
Lisa A Peterson, LMHC LCDP LCDCS MAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number LCDP00129.
Where does Lisa A Peterson, LMHC LCDP LCDCS MAC practice?
The practice location is 110 Elmwood Ave, Providence, RI 02907-2423. The office can be reached at 401-432-6029 (phone) or 401-300-5656 (fax).
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 1962514869 directly on the NPPES registry website.