ELISABETH PEDERSON LPC
NPI 1578286407
Peer Specialist in Boise, ID

Q: What is Elisabeth Pederson's NPI number?

The NPI number for Elisabeth Pederson is 1578286407. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Q: What is Elisabeth Pederson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since September 26, 2022PECOS Enrolled

545 N BENJAMIN LN, BOISE, ID 83704(208) 322-1026 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elisabeth Pederson Lpc NPPES

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

ELISABETH PEDERSON LPC (NPI 1578286407) is an individual peer specialist in Boise, Idaho and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578286407

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameELISABETH PEDERSONCredential: LPC

Location Address545 N BENJAMIN LNBoise, ID 83704-9623

Mailing Address1520 S Whipoorwill WayBoise, ID 83709-1369 · (208) 863-8549

Phone(208) 322-1026

Sole ProprietorNo

Enumeration DateSeptember 26, 2022

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1578286407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

545 N BENJAMIN LN, Boise, ID 83704

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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)

Elisabeth Pederson Lpc 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 9

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

MEDJINE M MIRAMBEAU

Social Worker