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ADAM PETERSON CADC III, CSWA
NPI 1295358018
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam Peterson Cadc Iii, Cswa NPPES

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

ADAM PETERSON CADC III, CSWA (NPI 1295358018) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (19-10-15) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295358018
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameADAM PETERSONCredential: CADC III, CSWA
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1295358018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 19-10-15
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A5586 (OR)
200 BEATTY ST, Medford, OR 97501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Adam Peterson Cadc Iii, Cswa 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 ID7618363169
PECOS Enrollment IDI20220408001330
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 Adam Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Better Life Counseling, LLC
2.0 mi
Professional
1998 SKYPARK DR STE 102
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1497461669 (541) 500-1022

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 20

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

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

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 Adam Peterson's NPI number?

The NPI number for Adam Peterson is 1295358018. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Adam Peterson located?

Adam Peterson practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Adam Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Adam Peterson enrolled in Medicare?

Yes. Adam 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 Adam Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Peterson reassigns Medicare benefits to Better Life Counseling, LLC (Medford, OR). 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 Adam Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Peterson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Adam 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 Adam Peterson was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.