ANNA CHRISTINE PETERSON MA, LMHC, NCC
NPI 1033557517
Counselor - Mental Health in Vancouver, WA

Q: What is Anna Peterson's NPI number?

The NPI number for Anna Peterson is 1033557517. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Q: What is Anna Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Anna Peterson was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 06, 2013PECOS Enrolled

1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683(360) 619-2226 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Anna Christine Peterson Ma, Lmhc, Ncc NPPES

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

ANNA CHRISTINE PETERSON MA, LMHC, NCC (NPI 1033557517) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH60635504) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033557517

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANNA CHRISTINE PETERSONCredential: MA, LMHC, NCC

Location Address1498 SE TECH CENTER PL STE 300Vancouver, WA 98683-5509

Mailing Address531 N Horns Corner DrRidgefield, WA 98642-8072 · (360) 433-1083

Phone(360) 619-2226

Sole ProprietorNo

Enumeration DateJune 6, 2013

Last NPPES UpdateFebruary 2, 2025

NPPES CertifiedFebruary 2, 2025

✔ NPI 1033557517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH60635504

1498 SE TECH CENTER PL STE 300, Vancouver, WA 98683

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Other Identifiers 1

Medicaid1033557517WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Christine Peterson Ma, Lmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Anna Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Real Life Counseling PLLC

Same address

Clinical

1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683

Reassigned Medicare billing, Washington enrollment
54 clinicians in this Medicare group

NPI 1053782078 (360) 619-2226

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 20

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

MR. JOSEPH MELVIN KLEMZ LICSW

Social Worker (Clinical)