STEPHEN WAYNE PETERSON LPCC
NPI 1003284886
Counselor - Professional in Edina, MN

Active since September 09, 2015PECOS EnrolledAccepts Medicare Assignment
7400 METRO BLVD STE 220, EDINA, MN 55439(952) 220-7164 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen Wayne Peterson Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN WAYNE PETERSON LPCC (NPI 1003284886) is an individual professional provider in Edina, Minnesota and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003284886
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHEN WAYNE PETERSONCredential: LPCC
Location Address7400 METRO BLVD STE 220Edina, MN 55439-2321
Mailing Address8630 Queen Ave SBloomington, MN 55431-1904
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2015
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1003284886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7400 METRO BLVD STE 220, Edina, MN 55439

Secondary Practice Location 1

Location 12120 Park AveMinneapolis, MN 55404-3378 · Phone (651) 774-0011 · Fax (651) 774-0606

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Wayne Peterson Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678090446
PECOS Enrollment IDI20250506000239
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marriage & Family Therapist
7400 METRO BLVD STE 220
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Ervin Counseling And Family Life Ministries PA
  • 3 clinicians in this Medicare group
Community/Behavioral Health
2120 PARK AVENUE
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 99 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
7400 METRO BLVD STE 220
EDINA, MN 55439
Marriage & Family Therapist
7400 METRO BLVD STE 220
EDINA, MN 55439
Marriage & Family Therapist
7400 METRO BLVD STE 220
EDINA, MN 55439
Marriage & Family Therapist
7400 METRO BLVD STE 220
EDINA, MN 55439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Peterson's NPI number?

The NPI number for Stephen Peterson is 1003284886. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Stephen Peterson located?

Stephen Peterson practices at 7400 Metro Blvd Ste 220, Edina, MN 55439. The listed phone number is (952) 220-7164.

What is Stephen Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stephen Peterson enrolled in Medicare?

Yes. Stephen Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephen Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Peterson reassigns Medicare benefits to 2 organizations: Ervin Counseling And Family Life Ministries, P.A. (Edina, MN) and People Incorporated (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Peterson accept?

Health plans from HealthPartners list Stephen Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Peterson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.