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

Katherine Ann Peterson, MA, LPCC, LADC

Individual provider Professional Counselor · NPI 1336997063

Katherine Ann Peterson, MA, LPCC, LADC is a Mental Health Counselor in St Louis Park, Minnesota. Qualified in 2020, 6 years ago. Practices with Associated Clinic of Psychology Inc, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2024
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1155 Ford Rd Ste B
St Louis Park, MN 55426-1115
Phone: (952) 378-1800
Fax: (952) 378-1714
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4027 County Road 25, Minneapolis, MN 55416-2629 — (612) 925-6033

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4403 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305945 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4403 (MN)

Record details

NPI number1336997063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , LADC
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Associated Clinic Of Psychology Inc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park