MARY ANNE PETERSON LCSW-R
NPI 1134568892
Counselor in Cortland, NY

Q: What is Mary Peterson's NPI number?

The NPI number for Mary Peterson is 1134568892. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Mary Anne Messmer Lcsw-R.

Q: What is Mary Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Peterson was last updated on March 5, 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.

Active since June 17, 2013

165 MAIN ST., SUITE A, CORTLAND, NY 13045(607) 753-0234(607) 753-0286 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Anne Peterson Lcsw-r NPPES

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

MARY ANNE PETERSON LCSW-R (NPI 1134568892) is an individual counselor in Cortland, New York, licensed in New York (R052643) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1134568892

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARY ANNE PETERSONCredential: LCSW-R

Location Address165 MAIN ST., SUITE ACortland, NY 13045-3049

Mailing Address10 N Main StCortland, NY 13045-2130 · (607) 753-0234 · Fax (607) 753-0286

Phone(607) 753-0234

Fax(607) 753-0286

Sole ProprietorNo

Enumeration DateJune 17, 2013

Last NPPES UpdateMarch 5, 2021

NPPES CertifiedMarch 5, 2021

✔ NPI 1134568892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NY · R052643

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.

165 MAIN ST., Cortland, NY 13045

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Anne Messmer Lcsw-r

Other Identifiers 1

Medicaid1336163963NY

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 Mary Peterson's NPI number?

The NPI number for Mary Peterson is 1134568892. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Mary Anne Messmer Lcsw-R.

Where is Mary Peterson located?

Mary Peterson practices at 165 Main St. Suite A, Cortland, NY 13045. The listed phone number is (607) 753-0234.

What is Mary Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Peterson was last updated on March 5, 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.