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

Q: 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.

Q: What is Callie Peterson's specialty?

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

Q: 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.

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: August 09, 2026.

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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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))