Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124160262 Individual Practitioner Male Practitioner

Wayne Douglas Peterson , LPC

Counselor - Professional • Richfield, UT

Professional Overview & Biography Verified Profile Summary

Wayne Peterson, LPC is a registered healthcare professional specializing in Counselor - Professional in Richfield, UT. Practice services are available at 164 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

164 N Main St
(Rear)

Richfield, UT 847012170

Telephone 4352014481

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Richfield, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Richfield, UT (520 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 3690346004

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Regence Blue Cross Blue S
36903460000001
Commercial Insurance / Payer ID Pehp
86695

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 164 N MAIN ST, (REAR), RICHFIELD, UT 847012170 (Tel: 4352014481)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 662, RICHFIELD, UT 847010662 (Tel: 4352014481)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE PETERSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #3690346004 in UT)

🟢
Initial NPI Registration & Enumeration February 13, 2007

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: 1124160262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 662

Richfield, UT 847010662

Phone: 4352014481

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.