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

Individual provider Mental Health Counselor · NPI 1972160133

Kathleenjo Marie Peterson, LADC is a Clinical Social Worker in Greeley, Colorado. Qualified in 2019, 7 years ago. Registered with an NPI since 2019.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1300 N 17th Ave
Greeley, CO 80631-9584
Phone: (970) 347-2120
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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

Record details

NPI number1972160133
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Greeley