Mata Peterson, LSW, LADC
NPI 1710320890 · Addiction (Substance Use Disorder) Counselor · Breckenridge, MN
Mata Peterson, LSW, LADC is a Addiction (Substance Use Disorder) Counselor provider in Breckenridge, MN (NPI 1710320890).
Provider details
- NPI number
- 1710320890
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSW, LADC
- Sex
- Female
- Sole proprietor
- No
- License
- 15452 (MN)
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2400 St. Francis DriveSt. Francis Medical CenterBreckenridge, MN 56520-1802Phone: (218) 643-3000
Registry dates
- Enumerated
- 2013-04-09
- Last updated
- 2020-05-21
- Certified
- 2020-05-21
Frequently asked questions
- What is Mata Peterson's NPI number?
- Mata Peterson's National Provider Identifier (NPI) is 1710320890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mata Peterson's specialty?
- Mata Peterson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Mata Peterson located?
- Mata Peterson's practice location on file with NPPES is 227 6th St N, Breckenridge, MN 56520-1503.
- What is Mata Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mata Peterson is (701) 640-8915.
- Is Mata Peterson's NPI active?
- Yes — Mata Peterson's NPI (1710320890) is active in the NPPES registry as of the last update on 2020-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.