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BETHANY PETERSON
NPI 1497203988
Marriage & Family Therapist in Fargo, ND

Active since September 14, 2016PECOS Enrolled
1201 25TH ST S, FARGO, ND 58103(701) 451-4900(651) 925-0057 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2020, Sep 14, 2016 (2 updates tracked since 2016).

About Bethany Peterson NPPES

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

BETHANY PETERSON (NPI 1497203988) is an individual marriage & family therapist in Fargo, North Dakota, licensed in North Dakota (2018-063) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497203988
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBETHANY PETERSON
Location Address1201 25TH ST SFargo, ND 58103-2311
Mailing AddressPo Box 9859Fargo, ND 58106-9859
Phone(701) 451-4900
Fax(651) 925-0057
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
✔ NPI 1497203988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in ND · 2018-063✔ Licensed in ND · 2013-015A
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1201 25TH ST S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany 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.

Medicare Billing Reassignment

Medicare enrollment records show Bethany Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Village Family Service Center
0.2 mi
Mental Health (Including Community Mental Health Center)
2701 12TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group
NPI 1568492353 (701) 451-4900

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.

MICHELLE COLTON LBSW
Social Worker
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
KATHERINE FIGUERRES LPCC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
CHRISTINE BIETZ
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
MARY K UONG-KAALE
Marriage & Family Therapist
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
JEFFREY D MADSEN LAPC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
JENNA DOBERVICH
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
MS. JENNIFER REID M.ED, LAC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
NADINE ANN HILLESHEIM
Psychologist
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900

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 Bethany Peterson's NPI number?

The NPI number for Bethany Peterson is 1497203988. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Bethany Peterson located?

Bethany Peterson practices at 1201 25th St S, Fargo, ND 58103. The listed phone number is (701) 451-4900.

What is Bethany Peterson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bethany Peterson enrolled in Medicare?

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

Which organization bills Medicare for Bethany Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Peterson reassigns Medicare benefits to Village Family Service Center (Fargo, ND). 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 Bethany Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Bethany 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 Bethany Peterson was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.