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AMELIA REEVES PETERSON LMHC
NPI 1215524103
Counselor - Mental Health in Fort Edward, NY

Active since December 25, 2020Opted out of Medicare · through Apr 5, 2028
184 N RIVER RD, FORT EDWARD, NY 12828(978) 712-8661 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 4, 2024, Dec 25, 2020 (2 updates tracked since 2020).

About Amelia Reeves Peterson Lmhc NPPES

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

AMELIA REEVES PETERSON LMHC (NPI 1215524103) is an individual mental health provider in Fort Edward, New York, licensed in New York (010081) and active in the NPI registry since December 2020. She has opted out of Medicare through April 5, 2028 and maintains a secondary practice location in Greenwich.

NPPES Registry Identity

NPI1215524103
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMELIA REEVES PETERSONCredential: LMHC
Location Address184 N RIVER RDFort Edward, NY 12828-2902
Mailing Address184 N River RdFort Edward, NY 12828-2902 · (518) 817-6430
Phone(978) 712-8661
Sole ProprietorYes
Enumeration DateDecember 25, 2020
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1215524103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 010081
184 N RIVER RD, Fort Edward, NY 12828
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Other Names 1

Former Name (1)Amelia Trainor Lmhc

Secondary Practice Location 1

Location 170 Main StGreenwich, NY 12834-1211 · Phone (978) 712-8661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amelia Reeves Peterson 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 April 5, 2024 through April 5, 2028.

Opt-Out Effective DateApril 5, 2024
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amelia Peterson's NPI number?

The NPI number for Amelia Peterson is 1215524103. It was assigned to this individual provider in the NPPES registry on December 25, 2020. The provider is also known as Amelia Trainor Lmhc.

Where is Amelia Peterson located?

Amelia Peterson practices at 184 N River Rd, Fort Edward, NY 12828. The listed phone number is (978) 712-8661.

What is Amelia Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amelia Peterson enrolled in Medicare?

No. Amelia Peterson has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amelia Peterson was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.