PAIGE PETERSEN
NPI 1063925915
Marriage & Family Therapist in Henderson, NV

Q: What is Paige Petersen's NPI number?

The NPI number for Paige Petersen is 1063925915. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Q: What is Paige Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paige Petersen was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 14, 2017PECOS EnrolledAccepts Medicare Assignment

1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014(702) 370-2293 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Jul 19, 2022, Jul 11, 2022 and 2 more (5 updates tracked since 2017).

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About Paige Petersen NPPES

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

PAIGE PETERSEN (NPI 1063925915) is an individual marriage & family therapist in Henderson, Nevada, licensed in Nevada (4987) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063925915

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NamePAIGE PETERSEN

Location Address1489 W WARM SPRINGS RD STE 110Henderson, NV 89014-7367

Mailing Address431 Mission DrHenderson, NV 89002-9203 · (702) 370-2293

Phone(702) 370-2293

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 14, 2017

Last NPPES UpdateApril 22, 20255 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1063925915 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 NV · 4987

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.

1489 W WARM SPRINGS RD STE 110, Henderson, NV 89014

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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

Paige Petersen 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 ID8325560634

PECOS Enrollment IDI20250317001201

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 20

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

CORAZON DI STEFANO

Technician (Personal Care Attendant)