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LISA M PETERSEN LMHP
NPI 1063707305
Counselor in Council Bluffs, IA

Active since June 15, 2011PECOS Enrolled
801 HARMONY ST, SUITE 302, COUNCIL BLUFFS, IA 51503(712) 328-2609(712) 328-9257 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa M Petersen Lmhp NPPES

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

LISA M PETERSEN LMHP (NPI 1063707305) is an individual counselor in Council Bluffs, Iowa, licensed in Iowa (001501) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063707305
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA M PETERSENCredential: LMHP
Location Address801 HARMONY ST, SUITE 302Council Bluffs, IA 51503-3106
Mailing Address7261 Mercy RdOmaha, NE 68124-2311 · (402) 398-6248 · Fax (402) 829-8513
Phone(712) 328-2609
Fax(712) 328-9257
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 15, 2011
Last NPPES UpdateAugust 3, 2015
✔ NPI 1063707305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in IA · 001501✔ Licensed in NE · 8871
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.
801 HARMONY ST, Council Bluffs, IA 51503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.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)

Lisa M Petersen Lmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294222980
PECOS Enrollment IDI20251015004751
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 16

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

DR. RONALD LEE BENDORF M.D.
Psychiatry & Neurology (Psychiatry)
801 HARMONY ST, SUITE #302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609
ARDITH A RYBERG MD
Surgery
801 HARMONY ST, SUITE 408
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 256-6160
JEAN A. MERTENS LMHC
Counselor (Mental Health)
801 HARMONY ST, SUITE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609
LEANN J REES ARNP
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609
DANNETTE S EVELOFF APRN
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST, SUITE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609
MARGARET KENNEY LISW
Counselor (Mental Health)
801 HARMONY ST, SUITE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609
GASTROENTEROLOGY CONSULTANTS PC
Internal Medicine (Gastroenterology)
801 HARMONY ST, SUITE 201
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 323-1230
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Psychiatry & Neurology (Psychiatry)
801 HARMONY ST, SUITE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-2609

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 Lisa Petersen's NPI number?

The NPI number for Lisa Petersen is 1063707305. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Lisa Petersen located?

Lisa Petersen practices at 801 Harmony St Suite 302, Council Bluffs, IA 51503. The listed phone number is (712) 328-2609.

What is Lisa Petersen's specialty?

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

Is Lisa Petersen enrolled in Medicare?

Yes. Lisa Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Petersen accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Lisa 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 Lisa Petersen was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.