COURTNEY PETERSON
NPI 1962954750
Counselor - Professional in Detroit Lakes, MN

Active since October 27, 2016PECOS Enrolled
1041 HAWK ST, DETROIT LAKES, MN 56501(218) 844-6853 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Peterson NPPES

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

COURTNEY PETERSON (NPI 1962954750) is an individual professional provider in Detroit Lakes, Minnesota and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962954750
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY PETERSON
Location Address1041 HAWK STDetroit Lakes, MN 56501-6958
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338 · Fax (218) 287-5928
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1962954750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedBehavior AnalystTaxonomy 103K00000X
1041 HAWK ST, Detroit Lakes, MN 56501

Other Names 1

Former Name (1)Courtney Kastning

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Courtney Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Professional)
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962954750, enumerated as an "individual" on October 27, 2016.

The provider is located at 1041 HAWK ST DETROIT LAKES, MN 56501 and the phone number is (218) 844-6853.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: HealthPartners and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.