OrganizationActive
Ellen C Peterson
NPI 1265646590 · Clinical Social Worker · Ithaca, NY
Ellen C Peterson is a Clinical Social Worker organization in Ithaca, NY (NPI 1265646590).
Provider details
- NPI number
- 1265646590
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ellen Peterson, Owner Psychotherapist(607) 272-7720
- License
- PR0432461 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
402 N Cayuga St
Ithaca, NY 14850
Phone: (607) 272-7720
Fax: (607) 564-0554
Street-level locationGet directions
Mailing address
402 N Cayuga St
Ithaca, NY 14850
Other names (DBA / former)
- Other name
- Avenues Counseling Ctr
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2008-06-24
Frequently asked questions
- What is Ellen C Peterson's NPI number?
- Ellen C Peterson's National Provider Identifier (NPI) is 1265646590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellen C Peterson?
- Ellen C Peterson is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ellen C Peterson located?
- Ellen C Peterson's practice location on file with NPPES is 402 N Cayuga St, Ithaca, NY 14850.
- What is Ellen C Peterson's phone number?
- The practice phone number listed in the NPPES registry for Ellen C Peterson is (607) 272-7720.
- Who is the authorized official for Ellen C Peterson?
- The authorized official listed on Ellen C Peterson's NPPES record is Ellen Peterson, Owner Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellen C Peterson's NPI active?
- Yes — Ellen C Peterson's NPI (1265646590) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.