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THERESA ANN PETERSON LCSW
NPI 1760534416
Counselor - Mental Health in Erie, PA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
4845 W LAKE RD STE 102, ERIE, PA 16505(814) 218-3054(814) 725-0707 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Ann Peterson Lcsw NPPES

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

THERESA ANN PETERSON LCSW (NPI 1760534416) is an individual mental health provider in Erie, Pennsylvania, licensed in Pennsylvania (CW015447) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760534416
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA ANN PETERSONCredential: LCSW
Location Address4845 W LAKE RD STE 102Erie, PA 16505-2973
Mailing Address4845 W Lake Rd Ste 102Erie, PA 16505-2973 · (814) 218-3054 · Fax (814) 725-0707
Phone(814) 218-3054
Fax(814) 725-0707
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1760534416 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 PA · CW015447
4845 W LAKE RD STE 102, Erie, PA 16505
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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 and accepts Medicare assignment

Theresa Ann 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 ID6204986797
PECOS Enrollment IDI20141111000181
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.

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 Theresa Peterson's NPI number?

The NPI number for Theresa Peterson is 1760534416. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Theresa Peterson located?

Theresa Peterson practices at 4845 W Lake Rd Ste 102, Erie, PA 16505. The listed phone number is (814) 218-3054.

What is Theresa Peterson's specialty?

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

Is Theresa Peterson enrolled in Medicare?

Yes. Theresa 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.

When was this NPI record last updated?

The NPPES record for Theresa Peterson was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.