SearchMinnesotaProfessional Counselor

Jon Petersen, MA, M.ED, LPCC, CMHC

NPI 1831735141 · on the registry since 2019

Practice

Address
1155 Ford Rd Ste B
St Louis Park, MN 55426
Phone
(952) 378-1800
Fax
(952) 378-1714
Organisation at this address
Genoa Healthcare Llc
Medicine Lake Consultation Group,Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Mental Health Counselor
Licence states on file
UT, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota