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STEPHANIE PETERSEN
NPI 1639705676
Social Worker - Clinical in Jefferson City, MO

Active since March 22, 2020PECOS Enrolled
5723 BRIDLESPUR LN, JEFFERSON CITY, MO 65109(248) 761-5359 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2021, Mar 22, 2020 (2 updates tracked since 2020).

About Stephanie Petersen NPPES

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

STEPHANIE PETERSEN (NPI 1639705676) is an individual clinical provider in Jefferson City, Missouri and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639705676
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE PETERSEN
Location Address5723 BRIDLESPUR LNJefferson City, MO 65109-5372
Mailing Address5723 Bridlespur LnJefferson City, MO 65109-5372 · (248) 761-5359
Phone(248) 761-5359
Sole ProprietorYes
Enumeration DateMarch 22, 2020
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1639705676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5723 BRIDLESPUR LN, Jefferson City, MO 65109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Petersen 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 Reassignments

3

Medicare enrollment records show Stephanie Petersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sondermind Provider Network LLC
686 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Missouri enrollment
  • 129 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Talkspace Provider Network Mi, PC
988 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group
NPI 1033999800 (212) 284-7206
Talkspace Provider Network PA
988 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Petersen's NPI number?

The NPI number for Stephanie Petersen is 1639705676. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Stephanie Petersen located?

Stephanie Petersen practices at 5723 Bridlespur Ln, Jefferson City, MO 65109. The listed phone number is (248) 761-5359.

What is Stephanie Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Stephanie Petersen enrolled in Medicare?

Yes. Stephanie Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Petersen reassigns Medicare benefits to 3 organizations: Sondermind Provider Network LLC (Denver, CO), Talkspace Provider Network Mi, PC (New York, NY) and Talkspace Provider Network PA (New York, NY). Each 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 Stephanie Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Stephanie 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 Stephanie Petersen was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.