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KELISSA PETERSON LCSW
NPI 1851998207
Social Worker - Clinical in Farmington, UT

Active since October 07, 2020PECOS Enrolled
284 E 750 S, FARMINGTON, UT 84025(208) 994-9677 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelissa Peterson Lcsw NPPES

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

KELISSA PETERSON LCSW (NPI 1851998207) is an individual clinical provider in Farmington, Utah, licensed in Utah (7396757-3501) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851998207
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELISSA PETERSONCredential: LCSW
Location Address284 E 750 SFarmington, UT 84025-3243
Mailing Address284 E 750 SFarmington, UT 84025-3243 · (208) 994-9677
Phone(208) 994-9677
Sole ProprietorYes
Enumeration DateOctober 7, 2020
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1851998207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 7396757-3501
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.
284 E 750 S, Farmington, UT 84025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelissa Peterson Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84025 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Kelissa Peterson's NPI number?

The NPI number for Kelissa Peterson is 1851998207. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Kelissa Peterson located?

Kelissa Peterson practices at 284 E 750 S, Farmington, UT 84025. The listed phone number is (208) 994-9677.

What is Kelissa Peterson's specialty?

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

Is Kelissa Peterson enrolled in Medicare?

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

What insurance does Kelissa Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Kelissa Peterson 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 Kelissa Peterson was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.