ALYSSA RAELYNN PETERSEN LPC
NPI 1336714039
Counselor - Professional in Sioux Falls, SD
About Alyssa Raelynn Petersen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA RAELYNN PETERSEN LPC (NPI 1336714039) is an individual professional provider in Sioux Falls, South Dakota, licensed in South Dakota (LPCMH-30589) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Alyssa Raelynn Petersen 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alyssa Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57104
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alyssa Petersen's NPI number?
The NPI number for Alyssa Petersen is 1336714039. It was assigned to this individual provider in the NPPES registry on May 25, 2021.
Where is Alyssa Petersen located?
Alyssa Petersen practices at 4000 N Brendan Ln, Sioux Falls, SD 57107. The listed phone number is (605) 332-2883.
What is Alyssa Petersen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Alyssa Petersen enrolled in Medicare?
Yes. Alyssa Petersen 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 organizations bill Medicare for Alyssa Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Petersen reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each 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 Alyssa Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Petersen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Harvard Pilgrim Health Care and 4 other insurers list Alyssa 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 Alyssa Petersen was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Alyssa Raelynn Petersen, LPC · NPI 1336714039
Professional provider in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 25, 2021.
## Identity
- **NPI:** 1336714039 (Entity type: Individual)
- **Enumerated:** May 25, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCMH-30589 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4000 N BRENDAN LN, Sioux Falls, SD 57107-1286
- **Phone:** (605) 332-2883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1457995714, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336714039) · Data from the CMS NPPES public registry.