KAYLA PETERSEN LPC
NPI 1649921362
Counselor - Mental Health in Rice Lake, WI
About Kayla Petersen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA PETERSEN LPC (NPI 1649921362) is an individual mental health provider in Rice Lake, Wisconsin, licensed in Wisconsin (10761) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kayla Petersen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kayla Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Barron, WI 54812
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1518494244 (Wisconsin)
- 501 clinicians in this Medicare group
Menomonie, WI 54751
- Reassigned Medicare billing, Wisconsin enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kayla Petersen's NPI number?
The NPI number for Kayla Petersen is 1649921362. It was assigned to this individual provider in the NPPES registry on January 13, 2022.
Where is Kayla Petersen located?
Kayla Petersen practices at 331 S Main St Ste H, Rice Lake, WI 54868. The listed phone number is (715) 236-8500.
What is Kayla Petersen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kayla Petersen enrolled in Medicare?
Yes. Kayla Petersen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kayla Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Petersen reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Barron, WI) and Aurora Counseling Centers Employee Support Systems, Inc. (Menomonie, WI). 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 Kayla Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Petersen accept?
Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Kayla 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 Kayla Petersen was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kayla Petersen, LPC · NPI 1649921362
Mental Health provider in Rice Lake, Wisconsin. Individual provider, active in the CMS NPPES registry since January 13, 2022.
## Identity
- **NPI:** 1649921362 (Entity type: Individual)
- **Enumerated:** January 13, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 10761 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 331 S MAIN ST STE H, Rice Lake, WI 54868-2253
- **Phone:** (715) 236-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1740239557, Barron, WI); Aurora Counseling Centers Employee Support Systems, Inc. (NPI 1437240868, Menomonie, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649921362) · Data from the CMS NPPES public registry.