Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ryan Peterson, LPCC

Individual provider Mental Health Counselor · NPI 1124650395

Ryan Peterson, LPCC is a Mental Health Counselor in Saint Paul, 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.

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Practice location Address checks out

821 Raymond Ave Ste 270
Saint Paul, MN 55114-1509
Phone: (612) 643-1932
Fax: (612) 587-1228
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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 2327 (MN)

Record details

NPI number1124650395
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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

Colleagues at Oliver Ross Psychology and Consulting LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Saint Paul