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

Ray Albert Petersen, ACMHC

Individual provider Mental Health Counselor · NPI 1639977317

Ray Albert Petersen, ACMHC is a Mental Health Counselor in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

1095 N Taffeta Dr
Salt Lake City, UT 84116-1740
Phone: (385) 743-2444
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 14207610-6009 (UT)

Record details

NPI number1639977317
Entity typeIndividual (Type 1)
GenderMale
Credentials ACMHC
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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