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

Peter William Werner III, LADC, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225424864

Peter William Werner III, LADC, LPCC is a Mental Health Counselor in Mendota Heights, Minnesota. Qualified in 2012, 14 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1155 Centre Pointe Dr Ste 8
Mendota Heights, MN 55120-1278
Phone: (651) 461-8033
Fax: (651) 461-8034
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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 CC03230 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303573 (MN)

Record details

NPI number1225424864
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LPCC
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mendota Heights