Emily Joan Peterson
NPI 1912858127ActiveIndividual· Counselor, Professional· Grand Rapids, MN
Counselor, Professional in Grand Rapids, Minnesota, licensed in MN, with an NPI issued in February 2026. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1912858127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 4, 2026 |
| Last updated in NPPES | Jul 10, 2026 |
| Certified by provider | Jul 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5437 | MN |
| Counselor, Mental Health | 101YM0800X | 5437 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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All 18 professional counselors in Grand Rapids · All professional counselors in Minnesota