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TAMMY MARIE PETERSON MA, LADC, LPCC
NPI 1174272553
Counselor - Professional in Hugo, MN

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
4638 VICTOR PATH STE 900, HUGO, MN 55038(651) 364-3839 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy Marie Peterson Ma, Ladc, Lpcc NPPES

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

TAMMY MARIE PETERSON MA, LADC, LPCC (NPI 1174272553) is an individual professional provider in Hugo, Minnesota, licensed in Minnesota (CC03846) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174272553
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAMMY MARIE PETERSONCredential: MA, LADC, LPCC
Location Address4638 VICTOR PATH STE 900Hugo, MN 55038-4732
Mailing Address27860 Lacy AveChisago City, MN 55013 · (651) 410-8912
Phone(651) 364-3839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
✔ NPI 1174272553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC03846
4638 VICTOR PATH STE 900, Hugo, MN 55038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

Tammy Marie Peterson Ma, Ladc, 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 ID8527418011
PECOS Enrollment IDI20231226000491
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 11

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

MELISSA TRAXLER
Counselor (Professional)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
MRS. EMILY CONERY MA, LPCC
Counselor (Professional)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
JESSIE CHRISTINE MCDOLE MSW, TGLS
Social Worker (Clinical)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
CARA HALGREN
Counselor (Mental Health)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
LEONA ANN STERN-TUOMALA LICSW
Social Worker (Clinical)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
ALEX KORDIAK
Counselor (Addiction (Substance Use Disorder))
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
VICTORIA RIVARD
Nurse Practitioner (Psychiatric/Mental Health)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839
ADELINE SAMPSON MA
Counselor (Professional)
4638 VICTOR PATH STE 900
HUGO, MN 55038
Washington County (651) 364-3839

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 Tammy Peterson's NPI number?

The NPI number for Tammy Peterson is 1174272553. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Tammy Peterson located?

Tammy Peterson practices at 4638 Victor Path Ste 900, Hugo, MN 55038. The listed phone number is (651) 364-3839.

What is Tammy Peterson's specialty?

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

Is Tammy Peterson enrolled in Medicare?

Yes. Tammy Peterson 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 Tammy Peterson accept?

Health plans from HealthPartners and Providence Health Plan list Tammy 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 Tammy Peterson was last updated on June 9, 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.