MS. KATHLEEN PETERS MSW
NPI 1831240324
Social Worker - Clinical in Roseburg, OR

Active since January 13, 2007PECOS EnrolledAccepts Medicare Assignment
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Peters Msw NPPES

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

MS. KATHLEEN PETERS MSW (NPI 1831240324) is an individual clinical provider in Roseburg, Oregon, licensed in Oregon (L7293) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alpena, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1831240324
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN PETERSCredential: MSW
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 13, 2007
Last NPPES UpdateOctober 15, 2019
NPI 1831240324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OR · L7293 Licensed in MI · 6801085075
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.
621 W MADRONE ST, Roseburg, OR 97470

Secondary Practice Location 1

Location 1400 Johnson StAlpena, MI 49707-1434 · Phone (989) 356-2161 ext. 7716

Other Identifiers 1

Other680108075MI · Michigan State License #

Accepted 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

Ms. Kathleen Peters Msw 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 ID6709970213
PECOS Enrollment IDI20191015002339
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 97470 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 20

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

Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470

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 Kathleen Peters's NPI number?

The NPI number for Kathleen Peters is 1831240324. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Kathleen Peters located?

Kathleen Peters practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Kathleen Peters's specialty?

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

Is Kathleen Peters enrolled in Medicare?

Yes. Kathleen Peters 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 Kathleen Peters accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kathleen Peters 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 Kathleen Peters was last updated on October 15, 2019. 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.