LISA PETERSON LMFT
NPI 1528467503
Marriage & Family Therapist in Chicago, IL
About Lisa Peterson Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA PETERSON LMFT (NPI 1528467503) is an individual marriage & family therapist in Chicago, Illinois, licensed in Illinois (166001244) and active in the NPI registry since August 2014. She has opted out of Medicare through May 31, 2028 and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lisa Peterson Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2024 through May 31, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60613
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 Lisa Peterson's NPI number?
The NPI number for Lisa Peterson is 1528467503. It was assigned to this individual provider in the NPPES registry on August 15, 2014.
Where is Lisa Peterson located?
Lisa Peterson practices at 1770 W Berteau Ave Ste 304, Chicago, IL 60613. The listed phone number is (312) 278-3771.
What is Lisa Peterson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Lisa Peterson enrolled in Medicare?
No. Lisa Peterson has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Lisa Peterson was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Lisa Peterson, LMFT · NPI 1528467503
Marriage & Family Therapist provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 15, 2014.
## Identity
- **NPI:** 1528467503 (Entity type: Individual)
- **Enumerated:** August 15, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 166001244 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1770 W BERTEAU AVE STE 304, Chicago, IL 60613-6131
- **Phone:** (312) 278-3771
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 31, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528467503) · Data from the CMS NPPES public registry.