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MRS. EILEEN MARIE PETERSON MA
NPI 1922551597
Marriage & Family Therapist in Big Lake, MN

Active since July 29, 2016PECOS EnrolledAccepts Medicare Assignment
207 JEFFERSON BLVD, BIG LAKE, MN 55309(763) 367-6080(763) 263-7897 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Eileen Marie Peterson Ma NPPES

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

MRS. EILEEN MARIE PETERSON MA (NPI 1922551597) is an individual marriage & family therapist in Big Lake, Minnesota, licensed in Minnesota (3566) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922551597
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. EILEEN MARIE PETERSONCredential: MA
Location Address207 JEFFERSON BLVDBig Lake, MN 55309-4667
Mailing Address3833 Coon Rapids Blvd Nw, Suite 120Coon Rapids, MN 55433-2643 · (763) 767-3350 · Fax (763) 767-0912
Phone(763) 367-6080
Fax(763) 263-7897
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 29, 2016
Last NPPES UpdateOctober 4, 2018
✔ NPI 1922551597 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 MN · 3566
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 · Mental HealthTaxonomy 101YM0800X
207 JEFFERSON BLVD, Big Lake, MN 55309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Mrs. Eileen Marie Peterson Ma 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 ID5395184907
PECOS Enrollment IDI20240416001254
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 19

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

MRS. ABIGAIL RAE WAGNER LPC, LADC
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
ELIZABETH SCHLUETER MSW, LICSW
Social Worker (Clinical)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
DANIEL LLOYD MILLER MA LMFT
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
ASHLEY LOVE MS
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MARISSA RAGUSIN
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
SHARON M KRAMER LMFT
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
ANGELA LEE MCGEE PA-C
Physician Assistant
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 308-8556
MCKAYLA LYNN KENT MSW, LGSW
Social Worker (Clinical)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080

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 Eileen Peterson's NPI number?

The NPI number for Eileen Peterson is 1922551597. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Eileen Peterson located?

Eileen Peterson practices at 207 Jefferson Blvd, Big Lake, MN 55309. The listed phone number is (763) 367-6080.

What is Eileen Peterson's specialty?

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

Is Eileen Peterson enrolled in Medicare?

Yes. Eileen Peterson 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 Eileen Peterson accept?

Health plans from HealthPartners list Eileen 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 Eileen Peterson was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.