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STEPHANIE PETERSON
NPI 1457701153
Counselor - Professional in West Haven, CT

Active since June 14, 2016PECOS Enrolled
415 MAIN ST, WEST HAVEN, CT 06516(203) 931-1184(203) 931-0067 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Peterson NPPES

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

STEPHANIE PETERSON (NPI 1457701153) is an individual professional provider in West Haven, Connecticut, licensed in Connecticut (2974) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457701153
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE PETERSON
Location Address415 MAIN STWest Haven, CT 06516-4296
Mailing Address262 Candlewood Hill RdHigganum, CT 06441-4254
Phone(203) 931-1184
Fax(203) 931-0067
Sole ProprietorYes
Enumeration DateJune 14, 2016
✔ NPI 1457701153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 2974
415 MAIN ST, West Haven, CT 06516
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

BARBARA GALLAGHER JARRY LMFT
Marriage & Family Therapist
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
SARAH NICOLE MORAN LCSW
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
DR. CHRISTOPHER M INCLIMA O.D.
Optometrist
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 934-5126
JOHN DAVID LIEBERMAN LPC
Counselor (Professional)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
TARIN EVANS
Counselor (Mental Health)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
ALEXANDRA IANNOTTI
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
LISA MICHELLE SPEARMAN LCSW
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
MARY SCHULTZ FORMAN APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184

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 Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1457701153. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Stephanie Peterson located?

Stephanie Peterson practices at 415 Main St, West Haven, CT 06516. The listed phone number is (203) 931-1184.

What is Stephanie Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stephanie Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Peterson was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.