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MATT PETERSON
NPI 1407274897
Social Worker - Clinical in West Haven, UT

Active since April 02, 2014PECOS Enrolled
4646 S 3500 W STE 1, WEST HAVEN, UT 84401(801) 896-7146 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Jan 30, 2021 (2 updates tracked since 2021).

About Matt Peterson NPPES

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

MATT PETERSON (NPI 1407274897) is an individual clinical provider in West Haven, Utah, licensed in Utah (3107140-3501) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407274897
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATT PETERSON
Location Address4646 S 3500 W STE 1West Haven, UT 84401-9406
Mailing AddressPo Box 209Roy, UT 84067-0209 · (801) 896-7146
Phone(801) 896-7146
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 2, 2014
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1407274897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 3107140-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4646 S 3500 W STE 1, West Haven, UT 84401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matt Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103383187
PECOS Enrollment IDI20260810002461
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 Matt Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Latchkey Counseling PLLC
Same address
Mental Health (Including Community Mental Health Center)
4630 S 3500 W STE 1
West Haven, UT 84401
  • Reassigned Medicare billing, Utah enrollment
NPI 1659963437 (801) 896-7146

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Matt Peterson's NPI number?

The NPI number for Matt Peterson is 1407274897. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Matt Peterson located?

Matt Peterson practices at 4646 S 3500 W Ste 1, West Haven, UT 84401. The listed phone number is (801) 896-7146.

What is Matt Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Matt Peterson enrolled in Medicare?

Yes. Matt Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matt Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matt Peterson reassigns Medicare benefits to Latchkey Counseling PLLC (West Haven, UT). 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 Matt Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matt Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Matt 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 Matt Peterson was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.