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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY KATHLEEN PETERSEN LPC
NPI 1750067823
Counselor - Professional in Zeeland, MI

Active since June 23, 2023PECOS Enrolled
440 S STATE ST, ZEELAND, MI 49464(616) 741-3790(616) 741-3792 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jun 23, 2023 (2 updates tracked since 2023).

About Amy Kathleen Petersen Lpc NPPES

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

AMY KATHLEEN PETERSEN LPC (NPI 1750067823) is an individual professional provider in Zeeland, Michigan, licensed in Michigan (6401225669) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hudsonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750067823
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY KATHLEEN PETERSENCredential: LPC
Location Address440 S STATE STZeeland, MI 49464-2060
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 741-3790
Fax(616) 741-3792
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 23, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ 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 · 6401225669
440 S STATE ST, Zeeland, MI 49464
Open in Google Maps ↗

Secondary Practice Location 1

Location 13424 Chicago DrHudsonville, MI 49426-1408 · Phone (616) 426-9034

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 Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830680628
PECOS Enrollment IDI20251119003138
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 6

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

MRS. LEAH ANNE MARTONOSI LLMSW
Social Worker (Clinical)
440 S STATE ST, STE 320
ZEELAND, MI 49464
Ottawa County (616) 990-8544
GAIL G JOHNSON LMSW
Social Worker (Clinical)
440 S STATE ST, STE 320
ZEELAND, MI 49464
Ottawa County (616) 990-8544
MRS. SHIRLEY VALK LMSW
Social Worker
440 S STATE ST, SUITE 320
ZEELAND, MI 49464
Ottawa County (616) 886-0820
JENNIFER E RAMOS
Counselor (Professional)
440 S STATE ST
ZEELAND, MI 49464
Ottawa County (616) 741-3790
JADE MARTIN LLMSW
Social Worker (Clinical)
440 S STATE ST
ZEELAND, MI 49464
Ottawa County (616) 741-3790
UNTANGLED COUNSELING, PLLC
Community/Behavioral Health
440 S STATE ST, SUITE 320
ZEELAND, MI 49464
Ottawa County (616) 990-8544

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 440 S State St, Zeeland, MI 49464. The listed phone number is (616) 741-3790.

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 August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.