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CALLIE K PETERSON MA, LMFT
NPI 1134817042
Marriage & Family Therapist in Minneapolis, MN

Active since April 27, 2023PECOS Enrolled
5346 LYNDALE AVE S, MINNEAPOLIS, MN 55419(651) 365-8237(612) 746-5518 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Callie K Peterson Ma, Lmft NPPES

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

CALLIE K PETERSON MA, LMFT (NPI 1134817042) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (4319) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134817042
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCALLIE K PETERSONCredential: MA, LMFT
Location Address5346 LYNDALE AVE SMinneapolis, MN 55419-1230
Mailing Address5346 Lyndale Ave SMinneapolis, MN 55419-1230 · (651) 365-8237 · Fax (612) 746-5518
Phone(651) 365-8237
Fax(612) 746-5518
Sole ProprietorNo
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1134817042 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 MN · 4319
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.
5346 LYNDALE AVE S, Minneapolis, MN 55419
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie K Peterson Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Callie Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eagan Counseling Clinic
8.5 mi
Clinical
3450 OLEARY LN
Eagan, MN 55123
  • Reassigned Medicare billing, Minnesota enrollment
  • 97 clinicians in this Medicare group
NPI 1144311184 (651) 454-0114

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 8

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

MR. ANDREW MARC CAMERON LPCC, LADC
Counselor (Addiction (Substance Use Disorder))
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (651) 365-8212
SOPHIA LYNN MEIERDING
Counselor (Mental Health)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (507) 829-6928
MRS. JENNIFER KAY PLATH LICSW
Social Worker (Clinical)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (320) 583-9597
LISA LEWANDOWSKI L.P.C.C.
Counselor (Professional)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (651) 365-8228
WILLIAM L CLAPP MD
Psychiatry & Neurology (Psychiatry)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (612) 746-5888
BRITTNI CARLSON LADC, LPCC
Counselor (Addiction (Substance Use Disorder))
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (651) 262-1416
CHRISTINE G LEWIS
Clinical Nurse Specialist (Psychiatric/Mental Health)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (612) 823-3021
LAURIE WOLLMAN MSW, LICSW
Social Worker (Clinical)
5346 LYNDALE AVE S
MINNEAPOLIS, MN 55419
Hennepin County (612) 430-3316

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 Callie Peterson's NPI number?

The NPI number for Callie Peterson is 1134817042. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Callie Peterson located?

Callie Peterson practices at 5346 Lyndale Ave S, Minneapolis, MN 55419. The listed phone number is (651) 365-8237.

What is Callie Peterson's specialty?

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

Is Callie Peterson enrolled in Medicare?

Yes. Callie Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Callie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Callie Peterson reassigns Medicare benefits to Eagan Counseling Clinic (Eagan, MN). 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 Callie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Callie Peterson accept?

Health plans from Sanford Health Plan list Callie 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 Callie Peterson was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.