Jon Walter Petersen, CMHC, LPCC, MA, MEd
- Medical group
- 1
- State licenses
- 2
- Year NPI issued
- 2019
- Practice address
- 4240 Park Glen Rd, Minneapolis, MN 55416
- Practice phone
- Call (612) 925-6033
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Associated Clinic of Psychology Inc
Minneapolis, Minnesota
Find Jon Petersen's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jon Walter Petersen is a professional counselor in Minneapolis, Minnesota
Jon Petersen practices at Associated Clinic of Psychology Inc in Minneapolis, Minnesota.
Jon Petersen's NPI, 1831735141, was assigned on November 21, 2019. Jon Petersen holds Minnesota license 2463.
- NPI
- 1831735141NPI Registry (opens in a new tab)
- NPI enumeration date
- November 21, 2019
- NPI status
- Active
- Practice phone
- (612) 925-6033
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Jon Walter Petersen practices at Associated Clinic of Psychology Inc in Minneapolis, Minnesota
Jon Petersen's primary practice is Associated Clinic of Psychology Inc, at 4240 Park Glen Rd, Minneapolis, MN 55416 in Hennepin County. The practice phone is (612) 925-6033.
- Associated Clinic of Psychology Inc4240 Park Glen Rd, Minneapolis, MN 55416 · Hennepin CountyPhone(612) 925-6033
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Jon Walter Petersen is affiliated with 1 site of care and 1 medical group
Jon Petersen's primary practice is Associated Clinic of Psychology Inc in Minneapolis, Minnesota. The medical group on file is Associated Clinic of Psychology.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jon Walter Petersen's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jon Petersen practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Associated Clinic of Psychology Inc | Available with a free account |
Source: Dmand AI Technology Install Data
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Jon Walter Petersen is one of 1,466 professional counselors in Minnesota
Professional is Jon Petersen's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Dmand AI has Jon Petersen's licenses on file in 2 states: Minnesota and Utah.
Specialties and state licenses
- Professional counselor, MinnesotaPrimary
- Mental health counselor, Utah
Professional counselors near Jon Petersen
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jon Walter Petersen's patients have a median age of 40
Across all payers, Dmand AI patient panel data puts Jon Petersen's median patient age at 40, with 34% women.
Jon Petersen's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 40
Patient panel by sex, all payers
- Women34%
- Men66%
Source: Dmand AI Patient Panel Data
Sources for Jon Walter Petersen's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jon Walter Petersen
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jon Walter Petersen's NPI number?
Jon Walter Petersen's NPI number is 1831735141. It was assigned on November 21, 2019, and it is active in the NPI Registry.
What does Jon Walter Petersen specialize in?
Jon Walter Petersen is a professional counselor in Minneapolis, Minnesota. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Jon Walter Petersen practice?
Jon Petersen practices at 4240 Park Glen Rd, Minneapolis, MN 55416. Jon Petersen's primary practice is Associated Clinic of Psychology Inc in Minneapolis, Minnesota.
What is Jon Walter Petersen's office phone number?
The practice phone on file for Jon Petersen is (612) 925-6033.
What is Jon Walter Petersen's medical license number?
Jon Petersen holds Minnesota license 2463, one of the licenses on file in 2 states.
Which states has Jon Walter Petersen been licensed in?
Dmand AI has state licenses on file for Jon Petersen in Minnesota and Utah.
What medical group is Jon Walter Petersen part of?
Jon Petersen is linked to Associated Clinic of Psychology.
How long has Jon Walter Petersen been practicing?
Jon Petersen graduated from medical school in 2012, 14 years ago.
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