MS. STACIE M PETERSON LPC
NPI 1275379430
Counselor - Professional in Anderson, SC
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
Specialties & Licenses
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
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.
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.
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.
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 6 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.
# Ms. Stacie M Peterson, LPC · NPI 1275379430
Professional provider in Anderson, South Carolina. Individual provider, active in the CMS NPPES registry since July 6, 2024.
## Identity
- **NPI:** 1275379430 (Entity type: Individual)
- **Enumerated:** July 6, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11822 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1209 N FANT ST, Anderson, SC 29621-4821
- **Phone:** (864) 353-3384
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275379430) · Data from the CMS NPPES public registry.