JOSHUA PETERSON MSW
NPI 1063629939
Counselor in Madison, WI

Q: What is Joshua Peterson's NPI number?

The NPI number for Joshua Peterson is 1063629939. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Joshua Peterson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Peterson was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 May 17, 2007PECOS Enrolled

1423 S PARK ST, MADISON, WI 53715(608) 280-3170 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joshua Peterson Msw NPPES

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

JOSHUA PETERSON MSW (NPI 1063629939) is an individual counselor in Madison, Wisconsin and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063629939

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJOSHUA PETERSONCredential: MSW

Location Address1423 S PARK STMadison, WI 53715-2105

Mailing Address25 Kessel CtMadison, WI 53711-6227

Phone(608) 280-3170

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 17, 2007

Last NPPES UpdateSeptember 6, 2016

✔ NPI 1063629939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1423 S PARK ST, Madison, WI 53715

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.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)

Joshua Peterson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153561253

PECOS Enrollment IDI20130715000176

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 10

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

SARAH MARIE FELDBRUEGGE , LPC-IT, M.S., B.S.

Counselor (Mental Health)