CALEB PETERSEN LAMFT
NPI 1285528695
Marriage & Family Therapist in Shoreview, MN

Active since June 09, 2025PECOS Enrolled
3940 LEXINGTON AVE. N., SHOREVIEW, MN 55126(651) 379-3401 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caleb Petersen Lamft NPPES

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

CALEB PETERSEN LAMFT (NPI 1285528695) is an individual marriage & family therapist in Shoreview, Minnesota, licensed in Minnesota (4635) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285528695
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCALEB PETERSENCredential: LAMFT
Location Address3940 LEXINGTON AVE. N.Shoreview, MN 55126
Mailing Address3940 Lexington Ave. N.Shoreview, MN 55126 · (651) 379-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1285528695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4635
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3940 LEXINGTON AVE. N., Shoreview, MN 55126

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Petersen Lamft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870052780
PECOS Enrollment IDI20260831000941
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 Caleb Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
900 LONG LAKE RD, STE 106
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 26 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.

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 Caleb Petersen's NPI number?

The NPI number for Caleb Petersen is 1285528695. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Caleb Petersen located?

Caleb Petersen practices at 3940 Lexington Ave. N., Shoreview, MN 55126. The listed phone number is (651) 379-3401.

What is Caleb Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Caleb Petersen enrolled in Medicare?

Yes. Caleb Petersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caleb Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Petersen reassigns Medicare benefits to Medical Care Services, PA (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 Caleb Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Petersen accept?

Health plans from HealthPartners list Caleb Petersen 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 Caleb Petersen was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.