MR. SCOTT PETERSEN DBH, LMFT, LISAC
NPI 1922420082
Marriage & Family Therapist in Mesa, AZ

Active since January 09, 2014PECOS EnrolledAccepts Medicare Assignment
2204 S DOBSON RD STE 201, MESA, AZ 85202(480) 371-4516 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Scott Petersen Dbh, Lmft, Lisac NPPES

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

MR. SCOTT PETERSEN DBH, LMFT, LISAC (NPI 1922420082) is an individual marriage & family therapist in Mesa, Arizona, licensed in Arizona (LMFT-10277) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922420082
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SCOTT PETERSENCredential: DBH, LMFT, LISAC
Location Address2204 S DOBSON RD STE 201Mesa, AZ 85202-6457
Mailing Address2204 S Dobson Rd Ste 201Mesa, AZ 85202-6457 · (480) 371-4516
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 9, 2014
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1922420082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in AZ · LMFT-10277
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC-11778 (AZ)
2204 S DOBSON RD STE 201, Mesa, AZ 85202

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

Mr. Scott Petersen Dbh, Lmft, Lisac 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 ID7012455124
PECOS Enrollment IDI20240820001210, I20250515003434
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.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
2204 S DOBSON RD STE 201
MESA, AZ 85202
Social Worker
2204 S DOBSON RD STE 201
MESA, AZ 85202
Counselor (Mental Health)
2204 S DOBSON RD STE 201
MESA, AZ 85202
Counselor (Mental Health)
2204 S DOBSON RD STE 201
MESA, AZ 85202
Clinical Nurse Specialist (Psychiatric/Mental Health)
2204 S DOBSON RD STE 201
MESA, AZ 85202
Social Worker
2204 S DOBSON RD STE 201
MESA, AZ 85202
Counselor (Professional)
2204 S DOBSON RD STE 201
MESA, AZ 85202
Counselor (Professional)
2204 S DOBSON RD STE 201
MESA, AZ 85202

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 Scott Petersen's NPI number?

The NPI number for Scott Petersen is 1922420082. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Scott Petersen located?

Scott Petersen practices at 2204 S Dobson Rd Ste 201, Mesa, AZ 85202. The listed phone number is (480) 371-4516.

What is Scott Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Scott Petersen enrolled in Medicare?

Yes. Scott Petersen 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 Scott Petersen accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Imperial Insurance Companies, Inc. and Molina Healthcare and 3 other insurers list Scott Petersen 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 Scott Petersen was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.