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Active NPI 1003284886 Individual Practitioner Male Practitioner

Stephen Wayne Peterson , LPCC

Counselor - Professional • Edina, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephen Peterson, LPCC is a certified Counselor - Professional practicing in Edina, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Stephen Peterson delivers high-quality medical care to the local community at 7400 METRO BLVD STE 220.

Stephen Peterson is affiliated with Ervin Counseling And Family Life Ministries Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7400 Metro Blvd Ste 220

Edina, MN 554392321

Telephone 9522207164
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Edina, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +3.1 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
65 Specialists

Practicing in Edina, MN (2422 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (12 Years) 12 Yrs
Edina Specialty Average (8.9 Years) 8.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Hospital & Practice Group Affiliations

Ervin Counseling And Family Life Ministries Pa

7400 Metro Blvd, Edina, MN 554392321

Phone: 95234545101

Secondary Practice Locations

2120 Park Ave

Minneapolis, MN 554043378

Phone: 6517740011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Victoria Molko , LPC

Counselor - Professional

NPI 1447728100

Licensed Professional Counselor

Bruce Ervin , MA, LMFT

Marriage & Family Therapist

NPI 1669598728

Master of Arts, Licensed Marriage and Family Therapist

Lisa Ervin , LMFT

Marriage & Family Therapist

NPI 1891816260

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 01, 2025

Recorded as STEPHEN PETERSON, LPCC

NPI Profile Active September 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2015

Registered at 7400 METRO BLVD STE 220, EDINA, MN 554392321 (Tel: 9522207164)

📍
Updated Business Mailing Address September 09, 2015

Registered at 8630 QUEEN AVE S, BLOOMINGTON, MN 554311904

👤
Provider Name / Credentials Updated September 09, 2015

Recorded as STEPHEN PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2015

Counselor

🟢
Initial NPI Registration & Enumeration September 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003284886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2015
Last Update: May 01, 2025
Sole Proprietor: Yes

Mailing Address

8630 Queen Ave S

Bloomington, MN 554311904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.