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

Mr. Gary Robert Peterson, MA, LMHC, CEAP, SAP

Individual provider Mental Health Counselor · NPI 1164589610

Mr. Gary Robert Peterson, MA, LMHC, CEAP, SAP is a Mental Health Counselor in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1538 The Greens Way Ste 101
Jacksonville Beach, FL 32250-1400
Phone: (904) 543-0161
Fax: (904) 543-9172
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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 · Licence MH0001443 (FL)

Record details

NPI number1164589610
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LMHC , CEAP , SAP
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007

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