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ANDREA PETERSON LMFT
NPI 1609146570
Marriage & Family Therapist in Elk Grove, CA

Active since January 09, 2012PECOS Enrolled
2378 MARITIME DR STE 100, ELK GROVE, CA 95758(916) 849-1273 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Peterson Lmft NPPES

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

ANDREA PETERSON LMFT (NPI 1609146570) is an individual marriage & family therapist in Elk Grove, California, licensed in California (85722) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609146570
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANDREA PETERSONCredential: LMFT
Location Address2378 MARITIME DR STE 100Elk Grove, CA 95758-3641
Mailing Address2378 Maritime Dr Ste 100Elk Grove, CA 95758-3641 · (916) 849-1273
Phone(916) 849-1273
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 9, 2012
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1609146570 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 CA · 85722✔ Licensed in CA · 69319
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.
2378 MARITIME DR STE 100, Elk Grove, CA 95758
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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)

Andrea Peterson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658855226
PECOS Enrollment IDI20260320003302
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 4

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

NICOLE KESLER
Marriage & Family Therapist
2378 MARITIME DR STE 100
ELK GROVE, CA 95758
Sacramento County (916) 627-2252
HOLDING HOPE COUNSELING LLC
Marriage & Family Therapist
2378 MARITIME DR STE 100
ELK GROVE, CA 95758
Sacramento County (916) 849-1273
GRACE AND GROWTH FAMILY COUNSELING PC
Marriage & Family Therapist
2378 MARITIME DR STE 100
ELK GROVE, CA 95758
Sacramento County (916) 849-1273
HEALING AND GROWTH COUNSELING SERVICES
Marriage & Family Therapist
2378 MARITIME DR STE 100
ELK GROVE, CA 95758
Sacramento County (916) 627-2990

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 Andrea Peterson's NPI number?

The NPI number for Andrea Peterson is 1609146570. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Andrea Peterson located?

Andrea Peterson practices at 2378 Maritime Dr Ste 100, Elk Grove, CA 95758. The listed phone number is (916) 849-1273.

What is Andrea Peterson's specialty?

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

Is Andrea Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea Peterson was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.