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MICHAEL WILLIAM PETERSON
NPI 1962171397
Counselor - Mental Health in Springfield, MA

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
417 LIBERTY ST, SPRINGFIELD, MA 01104(413) 747-0705(413) 732-7075 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael William Peterson NPPES

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

MICHAEL WILLIAM PETERSON (NPI 1962171397) is an individual mental health provider in Springfield, Massachusetts and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962171397
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL WILLIAM PETERSON
Location Address417 LIBERTY STSpringfield, MA 01104-3736
Mailing Address417 Liberty StSpringfield, MA 01104-3736 · (413) 747-0705 · Fax (413) 732-7075
Phone(413) 747-0705
Fax(413) 732-7075
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1962171397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
417 LIBERTY ST, Springfield, MA 01104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael William Peterson 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 ID9830619543
PECOS Enrollment IDI20250225003098
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Network Inc
Same address
Mental Health (Including Community Mental Health Center)
417 LIBERTY ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 211 clinicians in this Medicare group
NPI 1477582609 (413) 519-9495

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MEGHAN FRIEDMAN
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 736-3668
KAREN ROSS
Registered Nurse
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 747-0705
EVELYN SUAREZ
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 747-0705
KIANA JUSTINE-IVETTE FRANQUI
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
ELIZABETH JOY MAY
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
PATRICK LANDRY
Counselor (Addiction (Substance Use Disorder))
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 301-9406
KRISTIN NICOLE CIANCIOLO
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
CASSANDRA NAVA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (774) 551-6602

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 Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1962171397. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Michael Peterson located?

Michael Peterson practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 747-0705.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael 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.

Which organization bills Medicare for Michael Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Peterson reassigns Medicare benefits to Behavioral Health Network Inc (Springfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.