Provider Demographics
NPI:1427654201
Name:PEIFER, AMBER MARIE (MA, MPS, LPCC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:PEIFER
Suffix:
Gender:F
Credentials:MA, MPS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2069 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-4013
Mailing Address - Country:US
Mailing Address - Phone:612-702-7420
Mailing Address - Fax:
Practice Address - Street 1:2069 3RD ST N
Practice Address - Street 2:
Practice Address - City:NORTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55109-4013
Practice Address - Country:US
Practice Address - Phone:612-702-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
MN02539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health