Individual provider · Type 1 NPI

Jessica Peterson, ACMHC, LMHCA

Mental Health Counselor · Orem, UT

NPI number 1043123391 Active

Practice location

1422 E 820 N
Orem, UT 84097-5481

Call (385) 309-1038 Map

Mailing address

11 Two Rivers Rd
Mazama, WA 98833-9723

Other practice locations

  • 315 Riverside Ave Ste 207, Winthrop, WA 98862-0017 · (503) 894-4980

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMHCA.MC.70181646 (WA)
Mental Health Counselor Primary 101YM0800X14311038-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1043123391

Jessica Peterson, ACMHC, LMHCA's National Provider Identifier is 1043123391, issued on Sep 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orem, UT. The record was last updated on Sep 28, 2026.