JENNIFER R PETERSEN LPCC
NPI 1144992520
Counselor - Professional in Alpha, MN

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
230 KNOX ST S, ALPHA, MN 56111(507) 407-9775 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2026, Aug 14, 2025, Oct 4, 2021 (3 updates tracked since 2021).

About Jennifer R Petersen Lpcc NPPES

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

JENNIFER R PETERSEN LPCC (NPI 1144992520) is an individual professional provider in Alpha, Minnesota, licensed in North Carolina (21522) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144992520
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER R PETERSENCredential: LPCC
Location Address230 KNOX ST SAlpha, MN 56111-4006
Mailing Address125 S Lindberg AveDunnell, MN 56127-4006 · (612) 968-4725
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 4, 2021
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1144992520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in NC · 21522 Licensed in MN · 4424
230 KNOX ST S, Alpha, MN 56111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer R Petersen 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 ID7810434578
PECOS Enrollment IDI20240731001868
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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
230 KNOX ST S
ALPHA, MN 56111

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 Jennifer Petersen's NPI number?

The NPI number for Jennifer Petersen is 1144992520. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Jennifer Petersen located?

Jennifer Petersen practices at 230 Knox St S, Alpha, MN 56111. The listed phone number is (507) 407-9775.

What is Jennifer Petersen's specialty?

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

Is Jennifer Petersen enrolled in Medicare?

Yes. Jennifer Petersen 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.

What insurance does Jennifer Petersen accept?

Health plans from Avera Health Plans list Jennifer Petersen 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 Jennifer Petersen was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.