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

Ryan Peterson, LPCC

Individual provider Mental Health Counselor · NPI 1124650395

Ryan Peterson, LPCC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2018, 8 years ago. Practices with Oliver Ross Psychology and Consulting LLC, a 5-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2020
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3802A Grand Ave S
Minneapolis, MN 55409-1233
Phone: (612) 643-1932
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2327 (MN)

Record details

NPI number1124650395
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Oliver Ross Psychology And Consulting Llc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Minneapolis