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

Emily Joan Peterson

Individual provider Professional Counselor · NPI 1912858127

Emily Joan Peterson is a Mental Health Counselor in Grand Rapids, Minnesota. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2026
Specialties on file
2

Practice location Address checks out

217 NW 1st Ave
Grand Rapids, MN 55744-2702
Phone: (218) 360-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5437 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5437 (MN)

Record details

NPI number1912858127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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