KATHRYN ANN PETTERSON PH.D.
NPI 1952933244
Counselor - Mental Health in Lawrenceville, GA
About Kathryn Ann Petterson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN ANN PETTERSON PH.D. (NPI 1952933244) is an individual mental health provider in Lawrenceville, Georgia, licensed in Georgia (2113) and active in the NPI registry since February 2020. She has opted out of Medicare through April 5, 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
Kathryn Ann Petterson Ph.d. 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 April 5, 2024 through April 5, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathryn Petterson's NPI number?
The NPI number for Kathryn Petterson is 1952933244. It was assigned to this individual provider in the NPPES registry on February 5, 2020.
Where is Kathryn Petterson located?
Kathryn Petterson practices at 295 S Culver St Ste D, Lawrenceville, GA 30046. The listed phone number is (770) 995-5555.
What is Kathryn Petterson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathryn Petterson enrolled in Medicare?
No. Kathryn Petterson has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Kathryn Petterson accept?
Health plans from Providence Health Plan list Kathryn Petterson 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 Kathryn Petterson was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kathryn Ann Petterson, PH.D. · NPI 1952933244
Mental Health provider in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since February 5, 2020.
## Identity
- **NPI:** 1952933244 (Entity type: Individual)
- **Enumerated:** February 5, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2113 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 295 S CULVER ST STE D, Lawrenceville, GA 30046-3239
- **Phone:** (770) 995-5555 · **Fax:** (770) 497-0130
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1952933244) · Data from the CMS NPPES public registry.