NICOLE PETERSEN MA, LPCC
NPI 1063247237
Counselor - Mental Health in Minneapolis, MN
About Nicole Petersen Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE PETERSEN MA, LPCC (NPI 1063247237) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (4551) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Nicole Petersen Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55408
MINNEAPOLIS, MN 55408
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 Nicole Petersen's NPI number?
The NPI number for Nicole Petersen is 1063247237. It was assigned to this individual provider in the NPPES registry on September 5, 2024.
Where is Nicole Petersen located?
Nicole Petersen practices at 3133 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 367-6370.
What is Nicole Petersen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Petersen enrolled in Medicare?
Yes. Nicole Petersen is registered in the Medicare PECOS enrollment system.
What insurance does Nicole Petersen accept?
Health plans from HealthPartners list Nicole Petersen 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 Nicole Petersen was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Petersen, MA, LPCC · NPI 1063247237
Mental Health provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since September 5, 2024.
## Identity
- **NPI:** 1063247237 (Entity type: Individual)
- **Enumerated:** September 5, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 4551 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3133 HENNEPIN AVE, Minneapolis, MN 55408-2620
- **Phone:** (612) 367-6370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** April 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063247237) · Data from the CMS NPPES public registry.