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KATHLEEN M PETERSON MED
NPI 1467558841
Counselor - Mental Health in Kennewick, WA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
3311 W CLEARWATER AVE STE D111, KENNEWICK, WA 99336(509) 737-9660(509) 737-9610 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen M Peterson Med NPPES

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

KATHLEEN M PETERSON MED (NPI 1467558841) is an individual mental health provider in Kennewick, Washington, licensed in Washington (00005488) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467558841
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN M PETERSONCredential: MED
Location Address3311 W CLEARWATER AVE STE D111Kennewick, WA 99336-2696
Mailing Address3311 W Clearwater Ave Ste D111Kennewick, WA 99336-2696 · (509) 737-9660 · Fax (509) 737-9610
Phone(509) 737-9660
Fax(509) 737-9610
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1467558841 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 WA · 00005488
3311 W CLEARWATER AVE STE D111, Kennewick, WA 99336
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Stangeland

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Peterson Med is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628418837
PECOS Enrollment IDI20240811000034
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

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

DAWN SHEPHERD LICSW
Social Worker (Clinical)
3311 W CLEARWATER AVE STE D111
KENNEWICK, WA 99336
Benton County (509) 531-6351

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 Kathleen Peterson's NPI number?

The NPI number for Kathleen Peterson is 1467558841. It was assigned to this individual provider in the NPPES registry on September 15, 2006. The provider is also known as Kathleen Stangeland.

Where is Kathleen Peterson located?

Kathleen Peterson practices at 3311 W Clearwater Ave Ste D111, Kennewick, WA 99336. The listed phone number is (509) 737-9660.

What is Kathleen Peterson's specialty?

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

Is Kathleen Peterson enrolled in Medicare?

Yes. Kathleen Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Peterson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kathleen 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 Kathleen Peterson was last updated on August 7, 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.