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

Tammy Marie Peterson, MA, LADC, LPCC

Individual provider Professional Counselor · NPI 1174272553

Tammy Marie Peterson, MA, LADC, LPCC is a Mental Health Counselor in Hugo, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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.

See every abbreviation used in this directory →

Practice location Address checks out

4638 Victor Path Ste 900
Hugo, MN 55038-4732
Phone: (651) 364-3839
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03846 (MN)

Record details

NPI number1174272553
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC , LPCC
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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