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AMY KATHLEEN PETERSEN LLC
NPI 1750067823
Counselor - Professional in Hudsonville, MI

Active since June 23, 2023PECOS Enrolled
3424 CHICAGO DR, HUDSONVILLE, MI 49426(616) 426-9034 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Kathleen Petersen Llc NPPES

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

AMY KATHLEEN PETERSEN LLC (NPI 1750067823) is an individual professional provider in Hudsonville, Michigan, licensed in Michigan (6451023106) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750067823
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY KATHLEEN PETERSENCredential: LLC
Location Address3424 CHICAGO DRHudsonville, MI 49426-1408
Mailing Address14480 Woodbrook DrHolland, MI 49424-1466 · (616) 283-4285
Phone(616) 426-9034
Sole ProprietorNo
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1750067823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6451023106
3424 CHICAGO DR, Hudsonville, MI 49426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Kathleen Petersen Llc 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 18

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

MR. RYAN HANNAH MA, LLPC
Counselor (Mental Health)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
ERIC WINER M.A. LLPC
Counselor (Professional)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 822-2540
DEBORAH LYNN STOWIE LLPC
Counselor (Mental Health)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
OLIVIA CAMPBELL LPC
Counselor (Professional)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
MRS. CAITLYN HANNUM MA, LLPC
Counselor (Mental Health)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
DAN N WRIGHT LLPC
Counselor
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
ANDREW MICHAEL WOZNICK MA, LLC
Counselor (Mental Health)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034
MRS. LIZABETH ANN HUBER
Counselor (Professional)
3424 CHICAGO DR
HUDSONVILLE, MI 49426
Ottawa County (616) 426-9034

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 Amy Petersen's NPI number?

The NPI number for Amy Petersen is 1750067823. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Amy Petersen located?

Amy Petersen practices at 3424 Chicago Dr, Hudsonville, MI 49426. The listed phone number is (616) 426-9034.

What is Amy Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amy Petersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Petersen was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.