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MRS. JODI SANDRA PETERSON LIC PROF COUNSELOR
NPI 1851580658
Counselor - Professional in Norwich, CT

Active since October 17, 2007PECOS Enrolled
47 TOWN ST, NORWICH, CT 06360(860) 892-7042(860) 892-7043 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jodi Sandra Peterson Lic Prof Counselor NPPES

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

MRS. JODI SANDRA PETERSON LIC PROF COUNSELOR (NPI 1851580658) is an individual professional provider in Norwich, Connecticut, licensed in Connecticut (001529) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851580658
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JODI SANDRA PETERSONCredential: LIC PROF COUNSELOR
Location Address47 TOWN STNorwich, CT 06360-2323
Mailing Address47 Town StNorwich, CT 06360-2323 · (860) 892-7042 · Fax (860) 444-8776
Phone(860) 892-7042
Fax(860) 892-7043
Sole ProprietorNo
Enumeration DateOctober 17, 2007
Last NPPES UpdateNovember 15, 2019
✔ NPI 1851580658 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 CT · 001529
47 TOWN ST, Norwich, CT 06360
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Other Names 1

Former Name (1)Ms. Jodi Sandra Keyes Lic Prof Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jodi Sandra Peterson Lic Prof Counselor 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.

Medicare Billing Reassignment

Medicare enrollment records show Jodi Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Community And Family Services, Inc.
0.3 mi
Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
NPI 1467482539 (860) 892-7042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DAVID HEVEY
Student in an Organized Health Care Education/Training Program
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
JULIE A MARTIN LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
MRS. LISA GARVEY HARRISON APRN
Nurse Practitioner (Psychiatric/Mental Health)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-4193
PAULA RODRIGUEZ-PRANAITIS
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (413) 846-0445
DANIELLE JUDITH LAPRADE LMHC
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 822-2805
NICOLE GODBOUT MSW
Social Worker
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
STACY MESYNA LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7042
MICHELLE GIENAU LCSW
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 892-7040

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 Jodi Peterson's NPI number?

The NPI number for Jodi Peterson is 1851580658. It was assigned to this individual provider in the NPPES registry on October 17, 2007. The provider is also known as Ms. Jodi Sandra Keyes Lic Prof Counselor.

Where is Jodi Peterson located?

Jodi Peterson practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.

What is Jodi Peterson's specialty?

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

Is Jodi Peterson enrolled in Medicare?

Yes. Jodi Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jodi Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Peterson reassigns Medicare benefits to United Community And Family Services, Inc. (Norwich, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodi Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jodi Peterson was last updated on November 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.