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

Mr. Theodore Peterson III, LPC, NCC

Individual provider Professional Counselor · NPI 1124711973

Mr. Theodore Peterson III, LPC, NCC is a Professional Counselor in Somerdale, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

111 Glenwood Ave
Somerdale, NJ 08083-1709
Phone: (201) 774-3774
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC00955700 (NJ)
Professional Counselor Taxonomy 101YP2500X · Licence PC020455 (PA)

Record details

NPI number1124711973
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC
Sole proprietorYes
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Other providers in Somerdale