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

Trevor Todd Peterson

Individual provider Counselor · NPI 1780524595

Trevor Todd Peterson is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2026
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Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 767-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 5477 (MN)

Record details

NPI number1780524595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address3333 University Ave Se, Minneapolis, MN 55414-3325

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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