Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699420141 Individual Practitioner Male Practitioner

Trace F Peterson

Counselor • Ephraim, UT

Professional Overview & Biography Verified Profile Summary

Trace Peterson is a registered healthcare professional specializing in Counselor in Ephraim, UT. Practice services are available at 66 N 180 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

66 N 180 W

Ephraim, UT 846272130

Telephone 4352830164
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Ephraim, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Ephraim, UT (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Stacey Johanson

Residential Treatment Facility, Emotionally Disturbed Children

NPI 1194476895
Ranae Newland

Residential Treatment Facility, Emotionally Disturbed Children

NPI 1225798762
Gingr Young

Case Manager/Care Coordinator

NPI 1396148805
NPI 1437802550
Darcey Bardsley

Residential Treatment Facility, Emotionally Disturbed Children

NPI 1467746941
NPI 1497265383

BACHELOROFSCIENCE

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2022

Registered at 66 N 180 W, EPHRAIM, UT 846272130 (Tel: 4352830164)

📍
Updated Business Mailing Address February 14, 2022

Registered at 66 N 180 W, EPHRAIM, UT 846272130 (Tel: 4352830164)

👤
Provider Name / Credentials Updated February 14, 2022

Recorded as TRACE PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2022

Counselor

🟢
Initial NPI Registration & Enumeration February 14, 2022

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: 1699420141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2022
Last Update: February 14, 2022
Sole Proprietor: Yes

Mailing Address

66 N 180 W

Ephraim, UT 846272130

Phone: 4352830164

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.