BENJAMIN DAVID PETERSON
NPI 1083987903
Counselor - Mental Health in Corvallis, OR
About Benjamin David Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DAVID PETERSON (NPI 1083987903) is an individual mental health provider in Corvallis, Oregon and active in the NPI registry since February 2012. He has opted out of Medicare through September 17, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Benjamin David Peterson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2025 through September 17, 2027.
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 Benjamin Peterson's NPI number?
The NPI number for Benjamin Peterson is 1083987903. It was assigned to this individual provider in the NPPES registry on February 23, 2012.
Where is Benjamin Peterson located?
Benjamin Peterson practices at 4455 NE Hw 20 Children's Farm Home, Corvallis, OR 97330. The listed phone number is (541) 758-5900.
What is Benjamin Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Benjamin Peterson enrolled in Medicare?
No. Benjamin Peterson has opted out of Medicare through September 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Benjamin Peterson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Benjamin 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 Benjamin Peterson was last updated on July 19, 2017. 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.
