KACEY PETERSON
NPI 1033873260
Counselor - Mental Health in Selden, NY

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kacey Peterson NPPES

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

KACEY PETERSON (NPI 1033873260) is an individual mental health provider in Selden, New York, licensed in New York (014302) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033873260
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKACEY PETERSON
Location Address38 FRAN LNSelden, NY 11784-2641
Mailing Address38 Fran LnSelden, NY 11784-2641
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 25, 2021
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1033873260 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 NY · 014302
38 FRAN LN, Selden, NY 11784

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kacey Peterson 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 ID3577049006
PECOS Enrollment IDI20260114002278
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.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
38 FRAN LN
SELDEN, NY 11784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033873260, enumerated as an "individual" on October 25, 2021.

The provider is located at 38 FRAN LN SELDEN, NY 11784 and the phone number is (631) 681-0892.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.