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1619353562 NPI number — RITA J PETERSEN LPC, NCC, ACS

NPI Number: 1619353562
Health Care Provider/Practitioner: RITA J PETERSEN LPC, NCC, ACS

Information about “1619353562” NPI (RITA J PETERSEN LPC, NCC, ACS) exists in 1619353562 in HTML format HTML  |  1619353562 in plain Text format TXT  |  1619353562 in PDF (Portable Document Format) PDF  |  1619353562 in an XML format XML  formats.

NPI Number : 1619353562 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619353562",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PETERSEN",
    "FirstName": "RITA",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, NCC, ACS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8462 ARTESIAN SPRINGS PT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80920-4725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-608-1603",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1817 AUSTIN BLUFFS PKWY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80918-7860",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-608-1603",
    "PracticeLocationAddressFaxNumber": "719-960-2334",
    "EnumerationDate": "08/03/2015",
    "LastUpdateDate": "08/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "LPC.0013826",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC.0013826",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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