Tandice Peterson
NPI 1104199074 · Mental Health Counselor · Pocatello, ID
Tandice Peterson is a Mental Health Counselor provider in Pocatello, ID (NPI 1104199074).
Provider details
- NPI number
- 1104199074
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCPC-7004 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-22
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Frequently asked questions
- What is Tandice Peterson's NPI number?
- Tandice Peterson's National Provider Identifier (NPI) is 1104199074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tandice Peterson's specialty?
- Tandice Peterson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tandice Peterson located?
- Tandice Peterson's practice location on file with NPPES is 1777 E Clark St Ste 210, Pocatello, ID 83201-3357.
- What is Tandice Peterson's phone number?
- The practice phone number listed in the NPPES registry for Tandice Peterson is (208) 427-5891.
- Is Tandice Peterson's NPI active?
- Yes — Tandice Peterson's NPI (1104199074) is active in the NPPES registry as of the last update on 2023-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.