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KAYLA PETERSEN LPC
NPI 1649921362
Counselor - Mental Health in Rice Lake, WI

Active since January 13, 2022PECOS Enrolled
331 S MAIN ST STE H, RICE LAKE, WI 54868(715) 236-8500 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jun 18, 2025, Feb 10, 2023 and 1 more (4 updates tracked since 2022).

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

NPI1649921362
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAYLA PETERSENCredential: LPC
Location Address331 S MAIN ST STE HRice Lake, WI 54868-2253
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(715) 236-8500
Sole ProprietorNo
Enumeration DateJanuary 13, 2022
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1649921362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10761
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5196226 (WI)
331 S MAIN ST STE H, Rice Lake, WI 54868
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11101 Lake Ave WLadysmith, WI 54848-1062 · Phone (920) 496-4700
Location 2715 Decorah RdWest Bend, WI 53095-8112 · Phone (715) 651-1368

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Petersen 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

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

MS. KAY LOREE CASE PA-C
Physician Assistant
331 S MAIN ST STE H
RICE LAKE, WI 54868
Barron County (715) 838-5222

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.

What insurance does Kayla Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan 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 13 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.