Individual provider

Angel Peterson

Mental Health Counselor Counselor Medicare enrolled

Angel Peterson is a Mental Health Counselor in Vancouver, WA, registered under NPI 1003407578. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

Here is what surrounds this office in Vancouver, based on OpenStreetMap data collected Sep 17, 2026. Parking is available about 548 ft away. There is EV charging 498 ft from the office (Tesla Supercharger) — useful if you are driving in from out of town. The nearest transit stop is 0.30 mi away, served by Andresen Park and Ride. A pharmacy sits 0.27 mi from the entrance (Walgreens), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.42 mi away.

6926 NE FOURTH PLAIN BLVD, Vancouver, WA 98661 Open in Google Maps →

Getting here and what is nearby

Parking 303 ft ~2 min
EV charging Tesla Supercharger 498 ft ~2 min

6916 Northeast Fourth Plain Boulevard, Vancouver 98661

24/7

Website

Directions in Google Maps →

Parking 452 ft ~2 min
Restaurant Pizza Hut 485 ft ~2 min

6808 Northeast Fourth Plain Boulevard, Vancouver 98661

+1-360-693-2102

Website

Directions in Google Maps →

Parking 548 ft ~3 min
Restaurant Victorico's 807 ft ~4 min

7001 Northeast Fourth Plain Boulevard, Vancouver 98661

Mo-Th 06:00-23:00; Fr 06:00-01:00; Sa 07:00-01:00; Su 07:00-23:00

Website

Directions in Google Maps →

Coffee Black Rock Coffee 910 ft ~4 min
Gas station Space Age 958 ft ~4 min

3105 Northeast Andresen Road, Vancouver 98661

Directions in Google Maps →

Transit Andresen & Fourth Plain 0.20 mi ~4 min
Transit Andresen & Fourth Plain 0.20 mi ~5 min
Restaurant Arby's 0.20 mi ~4 min

7117 Northeast Fourth Plain Boulevard, Vancouver 98661

10:00-23:30

+1-360-896-5154

Website

Directions in Google Maps →

Gas station Pacific Pride 0.21 mi ~5 min
Gas station Shell 0.22 mi ~5 min
Coffee Beans & Boots Espresso 0.23 mi ~5 min
Pharmacy Walgreens 0.27 mi ~6 min
Transit Andresen Park and Ride 0.30 mi ~6 min
Convenience Alex's Philipino Store 0.30 mi ~7 min

2700 Northeast Andresen Road, Vancouver 98661

Directions in Google Maps →

Hotel Holiday Inn Express 0.39 mi ~8 min

7205 Northeast 41st Street, Vancouver 98662

+1-360-253-0500

Website

Directions in Google Maps →

Convenience ExtraMile 0.40 mi ~8 min

2517 Northeast Andresen Road, Vancouver 98661

Website

Directions in Google Maps →

Convenience 7-Eleven 0.41 mi ~9 min

6735 Northeast 42nd Street, Vancouver 98661

+1-360-693-1058

Website

Directions in Google Maps →

Coffee Coco Boba 0.42 mi ~9 min

5922 Northeast Fourth Plain Boulevard, Vancouver 98661

Directions in Google Maps →

Hotel Staybridge Suites 0.42 mi ~9 min
Grocery Mercado Latino Latin Store 0.44 mi ~9 min

5910 Northeast Fourth Plain Boulevard, Vancouver 98661

Directions in Google Maps →

Grocery European Delicatessen 0.45 mi ~10 min

2507 Northeast Andresen Road, Vancouver 98661

Directions in Google Maps →

Grocery Grocery Outlet 0.50 mi ~10 min

5800 Northeast Fourth Plain Boulevard, Vancouver 98661

+1-360-695-9257

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 17, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence
LicenceStateSpecialty
MC61245796 WA Mental Health Counselor primary

This provider holds licence MC61245796 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
3870088669
Enrollment ID
I20251218004039

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers ›Counselor ›Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health MC61245796 WA primary
101Y00000X Counselor — —

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003407578 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 28, 2021
Last updatedApr 25, 2022
StatusActive
Sole proprietorNo
GenderFemale
Practice address 6926 NE FOURTH PLAIN BLVD
Vancouver, WA 98661
(360) 933-3000
The last update on file is Apr 25, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003407578 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 4 0 7 5 7
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 0 3 8 0 5 5 5

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003407578?
NPI 1003407578 is the National Provider Identifier assigned to Angel Peterson in Vancouver, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Angel Peterson?
The phone number on file with NPPES is (360) 933-3000, last updated Apr 25, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Angel Peterson accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting Angel Peterson?
Parking is about 548 ft from the office. The closest transit stop is 0.30 mi away, on Andresen Park and Ride. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003407578 a valid number?
Yes. 1003407578 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.