Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel Peterson

Individual provider Counselor · NPI 1003407578

Angel Peterson is a Mental Health Counselor in Vancouver, Washington. Qualified in 2019, 7 years ago. Practices with Refresh Therapy, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Phone: (360) 933-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61245796 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1003407578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Refresh Therapy, Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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