Individual provider · Type 1 NPI
Kinzie Elise Petersen, PLMHP, PMSW
Mental Health Counselor · Lincoln, NE
NPI number
1407752447
Active
Practice location
1930 Breckenridge Dr
Lincoln, NE 68521-5045
Mailing address
1906 E St
Schuyler, NE 68661-1224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 15084 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1407752447
Kinzie Elise Petersen, PLMHP, PMSW's National Provider Identifier is 1407752447, issued on Oct 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lincoln, NE. The record was last updated on Oct 16, 2026.