MRS. JENNIFER ELAINE PETERSON LPC
NPI 1902526833
Counselor - Professional in Boise, ID
About Mrs. Jennifer Elaine Peterson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER ELAINE PETERSON LPC (NPI 1902526833) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-9027) and active in the NPI registry since August 2022. She has opted out of Medicare through January 30, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jennifer Elaine Peterson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2024 through January 30, 2028.
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 Jennifer Peterson's NPI number?
The NPI number for Jennifer Peterson is 1902526833. It was assigned to this individual provider in the NPPES registry on August 31, 2022.
Where is Jennifer Peterson located?
Jennifer Peterson practices at 12857 N Andys Gulch Rd, Boise, ID 83714. The listed phone number is (208) 401-4786.
What is Jennifer Peterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Peterson enrolled in Medicare?
No. Jennifer Peterson has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jennifer Peterson accept?
Health plans from Moda Health Plan, Inc. and Select Health list Jennifer 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 Jennifer Peterson was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jennifer Elaine Peterson, LPC · NPI 1902526833
Professional provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since August 31, 2022.
## Identity
- **NPI:** 1902526833 (Entity type: Individual)
- **Enumerated:** August 31, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-9027 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12857 N ANDYS GULCH RD, Boise, ID 83714-9423
- **Phone:** (208) 401-4786
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 30, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902526833) · Data from the CMS NPPES public registry.