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MR. WADE CHRISTIAN PETERSON MA, LPC, NCC
NPI 1447897806
Counselor - Mental Health in Dallas, TX

Active since December 04, 2019PECOS Enrolled
4144 N CENTRAL EXPY STE 850, DALLAS, TX 75204(972) 865-8782 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2022, Dec 4, 2019 (2 updates tracked since 2019).

About Mr. Wade Christian Peterson Ma, Lpc, Ncc NPPES

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

MR. WADE CHRISTIAN PETERSON MA, LPC, NCC (NPI 1447897806) is an individual mental health provider in Dallas, Texas, licensed in Texas (80077) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447897806
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WADE CHRISTIAN PETERSONCredential: MA, LPC, NCC
Location Address4144 N CENTRAL EXPY STE 850Dallas, TX 75204-3226
Mailing Address16516 Porterfield LaneFort Worth, TX 76247
Phone(972) 865-8782
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 4, 2019
Last NPPES UpdateJuly 24, 20222 updates tracked since enumeration
NPPES CertifiedJuly 24, 2022
✔ NPI 1447897806 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 TX · 80077
4144 N CENTRAL EXPY STE 850, Dallas, TX 75204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare 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)

Mr. Wade Christian Peterson Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032691639
PECOS Enrollment IDI20260403000495
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 Wade Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intrinsic Counseling And Treatment Center, PLLC
38 mi
Professional
16516 PORTERFIELD LANE
Fort Worth, TX 76247
  • Reassigned Medicare billing, Texas enrollment
NPI 1013643857 (682) 231-1132

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 20

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

ELIZABETH BALL LPC
Counselor (Professional)
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8782
TORI HOPE LEVINGER LPC
Counselor (Mental Health)
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (512) 956-4265
BROOKE BENANDI LMFT
Marriage & Family Therapist
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8782
SARAH ALSYE KARSNER LPC
Counselor
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8782
ALLIE WHISTLER LPC
Counselor (Professional)
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8762
AMBER CHRISTINE WRYE PHD, LPC-S, LCDC
Counselor (Professional)
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 472-2409
MRS. LARK CHERI JORDAN MA, LPC
Counselor (Mental Health)
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8782
JEANNETTE SANCHEZ
Counselor
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204
Dallas County (972) 865-8782

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 Wade Peterson's NPI number?

The NPI number for Wade Peterson is 1447897806. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Where is Wade Peterson located?

Wade Peterson practices at 4144 N Central Expy Ste 850, Dallas, TX 75204. The listed phone number is (972) 865-8782.

What is Wade Peterson's specialty?

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

Is Wade Peterson enrolled in Medicare?

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

Which organization bills Medicare for Wade Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Peterson reassigns Medicare benefits to Intrinsic Counseling And Treatment Center, PLLC (Fort Worth, TX). 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 Wade Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wade Peterson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Wade 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 Wade Peterson was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.