KATHRYN M. PETERSON LPC
NPI 1487852406
Counselor - Mental Health in De Pere, WI
About Kathryn M. Peterson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN M. PETERSON LPC (NPI 1487852406) is an individual mental health provider in De Pere, Wisconsin, licensed in Wisconsin (3670-125) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathryn M. Peterson Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
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.
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 Kathryn Peterson's NPI number?
The NPI number for Kathryn Peterson is 1487852406. It was assigned to this individual provider in the NPPES registry on July 11, 2007.
Where is Kathryn Peterson located?
Kathryn Peterson practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.
What is Kathryn Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathryn Peterson enrolled in Medicare?
Yes. Kathryn 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.
Which organizations bill Medicare for Kathryn Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Peterson reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Kathryn Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Peterson accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Kathryn 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 Kathryn Peterson was last updated on March 14, 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.
# Kathryn M. Peterson, LPC · NPI 1487852406
Mental Health provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1487852406 (Entity type: Individual)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3670-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3860 MONROE RD, De Pere, WI 54115-8399
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 14, 2024
- **Other identifiers:** Medicaid 43722200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1487852406) · Data from the CMS NPPES public registry.