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JESSICA PETERSON LCSW
NPI 1669901260
Social Worker - Clinical in Coeur D Alene, ID

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814(208) 930-1740(208) 930-1695 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Nov 17, 2020, Jun 7, 2017 (3 updates tracked since 2017).

About Jessica Peterson Lcsw NPPES

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

JESSICA PETERSON LCSW (NPI 1669901260) is an individual clinical provider in Coeur D Alene, Idaho, licensed in Idaho (LCSW-39938) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669901260
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA PETERSONCredential: LCSW
Location Address1044 NORTHWEST BLVD STE CCoeur D Alene, ID 83814-2114
Mailing Address1044 Northwest Blvd Ste CCoeur D Alene, ID 83814-2114 · (208) 930-1740 · Fax (208) 930-1695
Phone(208) 930-1740
Fax(208) 930-1695
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1669901260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-39938
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.
1044 NORTHWEST BLVD STE C, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jessica Peterson Lcsw 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 ID4688082787
PECOS Enrollment IDI20210408002075
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 13

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

AMBITIONS OF IDAHO, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
MISS LARA PATRICE GAGNE
Marriage & Family Therapist
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
MORGAN SUZANNE BRUCE LMSW
Counselor (Mental Health)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
SARA GRAY M.ED., CADC
Counselor (Addiction (Substance Use Disorder))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
TANYA RYAN LCSW
Social Worker (Clinical)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
SAMUEL NEAL LPC
Counselor (Professional)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
KRISTINA MARIE JONES-TARR LMSW
Social Worker
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 667-7777
MICHAEL GEORGESCU
Counselor (Mental Health)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740

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 Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1669901260. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Jessica Peterson located?

Jessica Peterson practices at 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814. The listed phone number is (208) 930-1740.

What is Jessica Peterson's specialty?

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

Is Jessica Peterson enrolled in Medicare?

Yes. Jessica Peterson 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 Jessica Peterson accept?

Health plans from Providence Health Plan list Jessica Peterson 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 Jessica Peterson was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.