JENNIFER PETERSON LICSW
NPI 1376076000
Counselor - Mental Health in Spokane Valley, WA

Active since April 10, 2017Opted out of Medicare · through Oct 24, 2027
511 N ARGONNE RD STE 201, SPOKANE VALLEY, WA 99212(509) 926-0229 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2022, Nov 2, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2017).

About Jennifer Peterson Licsw NPPES

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

JENNIFER PETERSON LICSW (NPI 1376076000) is an individual mental health provider in Spokane Valley, Washington, licensed in Washington (LW60888542) and active in the NPI registry since April 2017. She has opted out of Medicare through October 24, 2027.

NPPES Registry Identity

NPI1376076000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER PETERSONCredential: LICSW
Location Address511 N ARGONNE RD STE 201Spokane Valley, WA 99212-2878
Mailing Address511 N Argonne Rd Ste 201Spokane Valley, WA 99212-2878 · (509) 926-0229
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateSeptember 9, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
NPI 1376076000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · LW60888542 Licensed in WA · SC 60726293
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW60888542 (WA)
511 N ARGONNE RD STE 201, Spokane Valley, WA 99212

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

Jennifer Peterson Licsw 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 October 24, 2023 through October 24, 2027.

Opt-Out Effective DateOctober 24, 2023
Opt-Out In Effect ThroughOctober 24, 2027Opt-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 10

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

Marriage & Family Therapist
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Marriage & Family Therapist
511 N ARGONNE RD STE 201
SPOKANE VLY, WA 99212
Counselor (Mental Health)
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Clinic/Center (Mental Health (Including Community Mental Health Center))
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Social Worker (Clinical)
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Social Worker (Clinical)
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Counselor (Mental Health)
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212
Social Worker
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA 99212

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 Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1376076000. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Jennifer Peterson located?

Jennifer Peterson practices at 511 N Argonne Rd Ste 201, Spokane Valley, WA 99212. The listed phone number is (509) 926-0229.

What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Peterson enrolled in Medicare?

No. Jennifer Peterson has opted out of Medicare through October 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jennifer 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 Jennifer Peterson was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.