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

Mr. Peter Moises Falcon, LPCC

Individual provider Professional Counselor · NPI 1508212812

Mr. Peter Moises Falcon, LPCC is a Mental Health Counselor in Otsego, Minnesota. Qualified in 2014, 12 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota and Nebraska.

Years since qualifying
12
Licensed in
MN, NE
In the registry since
2016
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

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone: (763) 746-9492
Fax: (763) 746-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2052 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10678 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2052 (MN)

Record details

NPI number1508212812
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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