MS. ANN RENEE PETERSEN L.P.C.C., N.C.C.
NPI 1629170790
Counselor - Professional in Corrales, NM

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
4686 CORRALES RD, CORRALES, NM 87048(505) 400-9913(505) 890-1527 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ann Renee Petersen L.p.c.c., N.c.c. NPPES

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

MS. ANN RENEE PETERSEN L.P.C.C., N.C.C. (NPI 1629170790) is an individual professional provider in Corrales, New Mexico, licensed in New Mexico (0119911) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1629170790
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ANN RENEE PETERSENCredential: L.P.C.C., N.C.C.
Location Address4686 CORRALES RDCorrales, NM 87048-8610
Mailing AddressPo Box 3237Corrales, NM 87048-3237 · (505) 400-9913
Fax(505) 890-1527
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1629170790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NM · 0119911
4686 CORRALES RD, Corrales, NM 87048

Other Identifiers 2

Medicaid33007829NM
Other201-047-937NM · Presbyterian Health Plans

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Ann Renee Petersen L.p.c.c., N.c.c. 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.

PECOS PAC ID4385096833
PECOS Enrollment IDI20240119002446
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.

Counselor (Mental Health)
4686 CORRALES RD, #4E
CORRALES, NM 87048
Counselor (Professional)
4686 CORRALES RD
CORRALES, NM 87048
Counselor (Professional)
4686 CORRALES RD, SUITE #3
CORRALES, NM 87048
Counselor (Mental Health)
4686 CORRALES RD
CORRALES, NM 87048
Marriage & Family Therapist
4686 CORRALES RD
CORRALES, NM 87048
Psychologist
4686 CORRALES RD
CORRALES, NM 87048
Social Worker
4686 CORRALES RD
CORRALES, NM 87048
Counselor (Professional)
4686 CORRALES RD
CORRALES, NM 87048

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 Ann Petersen's NPI number?

The NPI number for Ann Petersen is 1629170790. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Ann Petersen located?

Ann Petersen practices at 4686 Corrales Rd, Corrales, NM 87048. The listed phone number is (505) 400-9913.

What is Ann Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ann Petersen enrolled in Medicare?

Yes. Ann Petersen 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.

What insurance does Ann Petersen accept?

Health plans from Providence Health Plan list Ann Petersen 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 Ann Petersen was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.