BONNIE SUE PETERSON LPCC
NPI 1073025946
Counselor - Professional in Canton, OH

Q: What is Bonnie Peterson's NPI number?

The NPI number for Bonnie Peterson is 1073025946. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Q: What is Bonnie Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Peterson was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment

601 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 453-6716 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2021, Oct 31, 2017 (2 updates tracked since 2017).

On this page

About Bonnie Sue Peterson Lpcc NPPES

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

BONNIE SUE PETERSON LPCC (NPI 1073025946) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.2102267) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073025946

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBONNIE SUE PETERSONCredential: LPCC

Location Address601 CLEVELAND AVE NWCanton, OH 44702-1836

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 455-2101

Phone(330) 455-0374

Fax(330) 453-6716

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 31, 2017

Last NPPES UpdateMay 10, 20212 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1073025946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.2102267

601 CLEVELAND AVE NW, Canton, OH 44702

Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 Cleveland Ave NWCanton, OH 44702-1805 · Phone (330) 455-0374 · Fax (330) 455-2101

Other Identifiers 1

Medicaid0273674OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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 and accepts Medicare assignment

Bonnie Sue Peterson Lpcc 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 ID3072963040

PECOS Enrollment IDI20240103002499

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.

Leave this field empty

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.

MORGAN TRUAX

Community Health Worker