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

Q: 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.

Q: What is Michael Peterson's specialty?

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

Q: 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 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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