NPI age
14 years
Enumerated 2012-02-22
● Active
Type 1 · Individual
MRS. Tandice Peterson
Peterson is 1 of 165 counselor providers in Pocatello and 1 of 1998 in Idaho.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Practice location
1777 E Clark St Ste 210
Pocatello, ID 832013357
Mailing address
1777 E Clark St Ste 210
Pocatello, ID 832013357
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new counselor providers have been added in Pocatello in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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