Ryan Peterson, LPCC
NPI 1124650395 · Mental Health Counselor · Minneapolis, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Peterson, LPCC is a Mental Health Counselor provider in Minneapolis, MN (NPI 1124650395).
Provider details
- NPI number
- 1124650395
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2327 (MN)
Specialties & taxonomies
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
6 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
- 2020-02-06
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is Ryan Peterson's NPI number?
- Ryan Peterson's National Provider Identifier (NPI) is 1124650395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Peterson's specialty?
- Ryan Peterson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ryan Peterson located?
- Ryan Peterson's practice location on file with NPPES is 3802a Grand Ave S, Minneapolis, MN 55409-1233.
- What is Ryan Peterson's phone number?
- The practice phone number listed in the NPPES registry for Ryan Peterson is (612) 643-1932.
- Does Ryan Peterson accept Medicare?
- Ryan Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Peterson's NPI active?
- Yes — Ryan Peterson's NPI (1124650395) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.