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

Stephen Wayne Peterson, LPCC

Individual provider Professional Counselor · NPI 1003284886

Stephen Wayne Peterson, LPCC is a Mental Health Counselor in Edina, Minnesota. Qualified in 2014, 12 years ago. Practices with Ervin Counseling and Family Life Ministries PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2015
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

7400 Metro Blvd Ste 220
Edina, MN 55439-2321
Phone: (952) 220-7164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2120 Park Ave, Minneapolis, MN 55404-3378 — (651) 774-0011

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1003284886
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedSeptember 9, 2015
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address8630 Queen Ave S, Bloomington, MN 55431-1904

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ervin Counseling And Family Life Ministries Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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