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KARLA M PETERSON
NPI 1063010528
Marriage & Family Therapist in Valdosta, GA

Active since October 15, 2020PECOS Enrolled
3790 OLD US HWY 41 N , STE A, VALDOSTA, GA 31602(229) 262-1000(229) 262-1085 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2022, Oct 15, 2020 (2 updates tracked since 2020).

About Karla M Peterson NPPES

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

KARLA M PETERSON (NPI 1063010528) is an individual marriage & family therapist in Valdosta, Georgia, licensed in Georgia (MFT001984) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moultrie.

NPPES Registry Identity

NPI1063010528
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKARLA M PETERSON
Location Address3790 OLD US HWY 41 N , STE AValdosta, GA 31602-6865
Mailing Address3569 Sumner RdMoultrie, GA 31768-0117 · (229) 310-5065
Phone(229) 262-1000
Fax(229) 262-1085
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1063010528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · MFT001984
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3790 OLD US HWY 41 N , STE A, Valdosta, GA 31602
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Secondary Practice Location 1

Location 13569 Sumner RdMoultrie, GA 31768-0117 · Phone (229) 310-5065

Other Identifiers 1

MedicaidG47619A509GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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)

Karla M Peterson 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 Karla Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Therapy LLC
Same address
Marriage & Family Therapist
3790 OLD US HIGHWAY 41 N STE A
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
NPI 1780432575 (229) 262-1000

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

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 Karla Peterson's NPI number?

The NPI number for Karla Peterson is 1063010528. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Karla Peterson located?

Karla Peterson practices at 3790 Old Us Hwy 41 N , Ste A, Valdosta, GA 31602. The listed phone number is (229) 262-1000.

What is Karla Peterson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Karla Peterson enrolled in Medicare?

Yes. Karla Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karla Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karla Peterson reassigns Medicare benefits to Serenity Therapy LLC (Valdosta, GA). The 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 Karla Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karla Peterson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Karla 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 Karla Peterson was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.