CORI CHRISTINA BOEHM-PETERSON LICSW
NPI 1376856518
Counselor - Mental Health in Richfield, MN

Active since July 16, 2010PECOS Enrolled
91.42/100
CMS Quality Rating
6636 CEDAR AVE S STE 360, RICHFIELD, MN 55423(612) 998-8934 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2024, Jul 10, 2024, Jan 4, 2023 (3 updates tracked since 2023).

About Cori Christina Boehm-peterson Licsw NPPES

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

CORI CHRISTINA BOEHM-PETERSON LICSW (NPI 1376856518) is an individual mental health provider in Richfield, Minnesota, licensed in Minnesota (14296) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376856518
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORI CHRISTINA BOEHM-PETERSONCredential: LICSW
Location Address6636 CEDAR AVE S STE 360Richfield, MN 55423-2712
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 16, 2010
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1376856518 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
License Licensed in MN · 14296
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 14296 (MN)
6636 CEDAR AVE S STE 360, Richfield, MN 55423

Secondary Practice Locations 2

Location 17401 Metro Blvd Ste 250Edina, MN 55439-3062 · Phone (612) 998-8934
Location 2701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-4304 · Fax (612) 904-4304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cori Christina Boehm-peterson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981937760
PECOS Enrollment IDI20190611000016
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376856518, enumerated as an "individual" on July 16, 2010.

The provider is located at 6636 CEDAR AVE S STE 360 RICHFIELD, MN 55423 and the phone number is (612) 998-8934.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.