BETSY PACK PETERSEN LMSW
NPI 1952852436
Counselor in Idaho Falls, ID

Q: What is Betsy Petersen's NPI number?

The NPI number for Betsy Petersen is 1952852436. It was assigned to this individual provider in the NPPES registry on October 19, 2016. The provider is also known as Betsy Leanne Pack Lmsw.

Q: What is Betsy Petersen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Betsy Petersen was last updated on September 21, 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.

Active since October 19, 2016

2267 TETON PLZ, IDAHO FALLS, ID 83404(208) 522-0140(208) 524-7335 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2018, Sep 7, 2018, May 9, 2017 and 1 more (4 updates tracked since 2016).

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About Betsy Pack Petersen Lmsw NPPES

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

BETSY PACK PETERSEN LMSW (NPI 1952852436) is an individual counselor in Idaho Falls, Idaho, licensed in Idaho (LMSW-38030) and active in the NPI registry since October 2016. She maintains a secondary practice location in Lenoir City.

NPPES Registry Identity

NPI1952852436

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameBETSY PACK PETERSENCredential: LMSW

Location Address2267 TETON PLZIdaho Falls, ID 83404-6486

Mailing Address2267 Teton PlzIdaho Falls, ID 83404-6486 · (208) 522-0140 · Fax (208) 524-7335

Phone(208) 522-0140

Fax(208) 524-7335

Sole ProprietorNo

Enumeration DateOctober 19, 2016

Last NPPES UpdateSeptember 21, 20184 updates tracked since enumeration

✔ NPI 1952852436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LMSW-38030

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-38030 (ID), 10930 (LMSW) (TN)

2267 TETON PLZ, Idaho Falls, ID 83404

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Other Names 1

Former Name (1)Betsy Leanne Pack Lmsw

Secondary Practice Location 1

Location 1501 Adesa Blvd, Suite A-150Lenoir City, TN 37771 · Phone (865) 986-8082 · Fax (865) 986-5890

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.

HUMAN DYNAMICS AND DIAGNOSTICS

Community/Behavioral Health