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

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: November 01, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Bonnie Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
625 CLEVELAND AVE NW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 46 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Licensed Practical Nurse
601 CLEVELAND AVE NW
CANTON, OH 44702
Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Counselor
601 CLEVELAND AVE NW
CANTON, OH 44702
Prevention Professional
601 CLEVELAND AVE NW
CANTON, OH 44702
Case Manager/Care Coordinator
601 CLEVELAND AVE NW
CANTON, OH 44702
Social Worker
601 CLEVELAND AVE NW
CANTON, OH 44702

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 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.

Where is Bonnie Peterson located?

Bonnie Peterson practices at 601 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 455-0374.

What is Bonnie Peterson's specialty?

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

Is Bonnie Peterson enrolled in Medicare?

Yes. Bonnie Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bonnie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Peterson reassigns Medicare benefits to Commquest Services, Inc. (Canton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonnie Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Bonnie Peterson 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 Bonnie Peterson was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.