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

Justin Peterson, LPCC

Individual provider Counselor · NPI 1366035834

Justin Peterson, LPCC is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 2022, 4 years ago. Licensed in New Mexico.

Years since qualifying
4
Licensed in
NM
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

4004 Carlisle Blvd NE
Albuquerque, NM 87107-4565
Phone: (505) 270-7733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CTB20250426 (NM)
Mental Health Counselor Taxonomy 101YM0800X · Licence CTB-2023-0133 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366035834
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 16, 2021
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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