What is Charles Petersen's NPI number?

Charles Petersen's National Provider Identifier (NPI) is 1417578014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Petersen's specialty?

Charles Petersen is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Charles Petersen located?

Charles Petersen's practice location on file with NPPES is 900 7th St, Clarkston, WA 99403-2005.

What is Charles Petersen's phone number?

The practice phone number listed in the NPPES registry for Charles Petersen is (508) 758-3341.

Is Charles Petersen's NPI active?

Yes — Charles Petersen's NPI (1417578014) is active in the NPPES registry as of the last update on 2020-05-05.

IndividualActive

Charles Petersen

NPI 1417578014 · Mental Health Counselor · Clarkston, WA

Charles Petersen is a Mental Health Counselor provider in Clarkston, WA (NPI 1417578014).

Provider details

NPI number: 1417578014
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

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
83% 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

900 7th St

Clarkston, WA 99403-2005

Phone: (508) 758-3341

Street-level locationGet directions

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Mailing address