AMIE PETERSON LPC, LPCC, LMHC
NPI 1194095968
Counselor - Mental Health in Walla Walla, WA
About Amie Peterson Lpc, Lpcc, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMIE PETERSON LPC, LPCC, LMHC (NPI 1194095968) is an individual mental health provider in Walla Walla, Washington, licensed in Washington (61348595) and active in the NPI registry since January 2012. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Amie Peterson Lpc, Lpcc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amie Peterson's NPI number?
The NPI number for Amie Peterson is 1194095968. It was assigned to this individual provider in the NPPES registry on January 10, 2012.
Where is Amie Peterson located?
Amie Peterson practices at 907 Shasta Dr, Walla Walla, WA 99362. The listed phone number is (509) 713-2150.
What is Amie Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amie Peterson enrolled in Medicare?
No. Amie Peterson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Amie Peterson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amie 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 Amie Peterson was last updated on December 11, 2022. 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.
# Amie Peterson, LPC, LPCC, LMHC · NPI 1194095968
Mental Health provider in Walla Walla, Washington. Individual provider, active in the CMS NPPES registry since January 10, 2012.
## Identity
- **NPI:** 1194095968 (Entity type: Individual)
- **Enumerated:** January 10, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 61348595 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 907 SHASTA DR, Walla Walla, WA 99362-1537
- **Phone:** (509) 713-2150
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194095968) · Data from the CMS NPPES public registry.