CAMILLE PETERSEN MS
NPI 1295937118
Marriage & Family Therapist in Florence, KY

Active since June 04, 2007Opted out of Medicare · through Jan 24, 2028
7459 BURLINGTON PIKE, FLORENCE, KY 41042(859) 525-6808 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camille Petersen Ms NPPES

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

CAMILLE PETERSEN MS (NPI 1295937118) is an individual marriage & family therapist in Florence, Kentucky, licensed in Kentucky (07-011) and active in the NPI registry since June 2007. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1295937118
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAMILLE PETERSENCredential: MS
Location Address7459 BURLINGTON PIKEFlorence, KY 41042-1553
Mailing Address7459 Burlington PikeFlorence, KY 41042-1553 · (859) 525-6808
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1295937118 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 KY · 07-011
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.
7459 BURLINGTON PIKE, Florence, KY 41042

Other Identifiers 1

Other184607KY · Medicare Group Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Camille Petersen Ms 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 January 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Social Worker (Clinical)
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Social Worker
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Nurse Practitioner (Psychiatric/Mental Health)
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042
Technician, Other
7459 BURLINGTON PIKE
FLORENCE, KY 41042

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 Camille Petersen's NPI number?

The NPI number for Camille Petersen is 1295937118. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Camille Petersen located?

Camille Petersen practices at 7459 Burlington Pike, Florence, KY 41042. The listed phone number is (859) 525-6808.

What is Camille Petersen's specialty?

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

Is Camille Petersen enrolled in Medicare?

No. Camille Petersen has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Camille Petersen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Camille 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 Camille Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.