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SUSAN CAROL PETERSON LMHC
NPI 1669966446
Counselor - Mental Health in Winthrop, WA

Active since June 15, 2018Opted out of Medicare · through Jan 1, 2028
105 NORFOLK RD, WINTHROP, WA 98862(509) 341-4487 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Carol Peterson Lmhc NPPES

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

SUSAN CAROL PETERSON LMHC (NPI 1669966446) is an individual mental health provider in Winthrop, Washington, licensed in Washington (LH60824935) and active in the NPI registry since June 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1669966446
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN CAROL PETERSONCredential: LMHC
Location Address105 NORFOLK RDWinthrop, WA 98862-4500
Mailing AddressPo Box 1022Winthrop, WA 98862-1022 · (509) 341-4487
Phone(509) 341-4487
Sole ProprietorNo
Enumeration DateJune 15, 2018
✔ NPI 1669966446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60824935
105 NORFOLK RD, Winthrop, WA 98862
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Carol Peterson Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

KYLE ALLEN NORTHCOTT LMT
Massage Therapist
105 NORFOLK RD
WINTHROP, WA 98862
Okanogan County (509) 996-4462
SUE PETERSON COUNSELING, PLLC
Counselor (Mental Health)
105 NORFOLK RD
WINTHROP, WA 98862
Okanogan County (509) 341-4487
DR. HEIDI BREITBEIL ND
Naturopath
105 NORFOLK RD
WINTHROP, WA 98862
Okanogan County (509) 996-3970

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 Susan Peterson's NPI number?

The NPI number for Susan Peterson is 1669966446. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Susan Peterson located?

Susan Peterson practices at 105 Norfolk Rd, Winthrop, WA 98862. The listed phone number is (509) 341-4487.

What is Susan Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Susan Peterson enrolled in Medicare?

No. Susan Peterson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Peterson was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.