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

Olivia Peterson

Individual provider Counselor · NPI 1063030591

Olivia Peterson is a Marriage and Family Therapist in Nevada City, California. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

208 Providence Mine Rd Ste 122
Nevada City, CA 95959-2955
Phone: (530) 277-2046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 139207 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063030591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing addressPo Box 2633, Mill Valley, CA 94942-2633

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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