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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KINZIE ELISE PETERSEN PLMHP, PMSW
NPI 1407752447
Counselor - Mental Health in Lincoln, NE

Active since October 16, 2026
1930 BRECKENRIDGE DR, LINCOLN, NE 68521(402) 474-0011 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kinzie Elise Petersen Plmhp, Pmsw NPPES

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

KINZIE ELISE PETERSEN PLMHP, PMSW (NPI 1407752447) is an individual mental health provider in Lincoln, Nebraska, licensed in Nebraska (15084) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1407752447
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKINZIE ELISE PETERSENCredential: PLMHP, PMSW
Location Address1930 BRECKENRIDGE DRLincoln, NE 68521-5045
Mailing Address1906 E StSchuyler, NE 68661-1224 · (402) 474-0011
Phone(402) 474-0011
Sole ProprietorNo
Enumeration DateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1407752447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 15084
1930 BRECKENRIDGE DR, Lincoln, NE 68521
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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 Kinzie Petersen's NPI number?

The NPI number for Kinzie Petersen is 1407752447. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Kinzie Petersen located?

Kinzie Petersen practices at 1930 Breckenridge Dr, Lincoln, NE 68521. The listed phone number is (402) 474-0011.

What is Kinzie Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kinzie Petersen was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.