MS. STACIE M PETERSON LPC
NPI 1275379430
Counselor - Professional in Anderson, SC

Active since July 06, 2024PECOS EnrolledAccepts Medicare Assignment
1209 N FANT ST, ANDERSON, SC 29621(864) 353-3384 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Jul 6, 2024 (2 updates tracked since 2024).

About Ms. Stacie M Peterson Lpc NPPES

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

MS. STACIE M PETERSON LPC (NPI 1275379430) is an individual professional provider in Anderson, South Carolina, licensed in South Carolina (11822) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275379430
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. STACIE M PETERSONCredential: LPC
Location Address1209 N FANT STAnderson, SC 29621-4821
Mailing Address858 Crouch DrPendleton, SC 29670-1516 · (678) 488-5693
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2024
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1275379430 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 SC · 11822
1209 N FANT ST, Anderson, SC 29621

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

Ms. Stacie M Peterson Lpc 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 ID4082189311
PECOS Enrollment IDI20260406000151
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.

Medicare Billing Reassignment

Medicare enrollment records show Stacie Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
125 MUDDY TOES DR
Anderson, SC 29626
  • Reassigned Medicare billing, South Carolina enrollment
  • 12 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 4

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

Counselor (Professional)
1209 N FANT ST
ANDERSON, SC 29621
Counselor (Professional)
1209 N FANT ST
ANDERSON, SC 29621
Nurse Practitioner (Psychiatric/Mental Health)
1209 N FANT ST
ANDERSON, SC 29621
Counselor (Professional)
1209 N FANT ST
ANDERSON, SC 29621

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 Stacie Peterson's NPI number?

The NPI number for Stacie Peterson is 1275379430. It was assigned to this individual provider in the NPPES registry on July 6, 2024.

Where is Stacie Peterson located?

Stacie Peterson practices at 1209 N Fant St, Anderson, SC 29621. The listed phone number is (864) 353-3384.

What is Stacie Peterson's specialty?

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

Is Stacie Peterson enrolled in Medicare?

Yes. Stacie 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 Stacie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Peterson reassigns Medicare benefits to Counseling For Life, Inc. (Anderson, SC). 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 Stacie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Peterson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Stacie 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 Stacie Peterson was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.