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

Eric William Richard Petersen

Individual provider Counselor · NPI 1609563550

Eric William Richard Petersen is a Counselor in Kansas City, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1511 Westport Rd Ste A
Kansas City, MO 64111-4301
Phone: (805) 433-3032
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1609563550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

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