TAMMY MARIE PETERSON MA, LADC, LPCC
NPI 1174272553
Counselor - Professional in Hugo, MN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tammy Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 clinicians in this Medicare group
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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUGO, MN 55038
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.
Which organization bills Medicare for Tammy Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Peterson reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Tammy Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tammy Peterson accept?
Health plans from HealthPartners 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.
# Tammy Marie Peterson, MA, LADC, LPCC · NPI 1174272553
Professional provider in Hugo, Minnesota. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1174272553 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC03846 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4638 VICTOR PATH STE 900, Hugo, MN 55038-4732
- **Phone:** (651) 364-3839
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174272553) · Data from the CMS NPPES public registry.