BROOKE PETERSEN COUNSELING PLLC
NPI 1154905651
Counselor - Professional in Chicago, IL
About Brooke Petersen Counseling Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE PETERSEN COUNSELING PLLC (NPI 1154905651) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since May 2021. The organization lists Brooke N Petersen, Psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooke Petersen Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brooke Petersen Counseling PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brooke Petersen Counseling PLLC's NPI number?
The NPI number for Brooke Petersen Counseling PLLC is 1154905651. It was assigned to this organization in the NPPES registry on May 11, 2021.
Where is Brooke Petersen Counseling PLLC located?
Brooke Petersen Counseling PLLC is located at 3609 N Magnolia Ave, Chicago, IL 60613. The listed phone number is (630) 803-1062.
What is Brooke Petersen Counseling PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brooke Petersen Counseling PLLC enrolled in Medicare?
Yes. Brooke Petersen Counseling PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brooke Petersen Counseling PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Brooke Petersen Counseling PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brooke Petersen Counseling PLLC was last updated on May 11, 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.
# Brooke Petersen Counseling Pllc · NPI 1154905651
Professional organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since May 11, 2021.
## Identity
- **NPI:** 1154905651 (Entity type: Organization)
- **Enumerated:** May 11, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Brooke Petersen, PSYCHOTHERAPIST
## Practice location
- **Address:** 3609 N MAGNOLIA AVE, Chicago, IL 60613-3820
- **Phone:** (630) 803-1062
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2021
- **Other identifiers:** Other 180013512 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1154905651) · Data from the CMS NPPES public registry.