KYLE PETERSON LCMHC
NPI 1972078251
Counselor - Mental Health in Cedar City, UT

Active since October 12, 2018PECOS EnrolledAccepts Medicare Assignment
415 N MAIN ST STE 101, CEDAR CITY, UT 84721(701) 852-3328(651) 925-0057 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2023, Mar 2, 2023, Oct 12, 2018 (3 updates tracked since 2018).

About Kyle Peterson Lcmhc NPPES

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

KYLE PETERSON LCMHC (NPI 1972078251) is an individual mental health provider in Cedar City, Utah, licensed in Utah (11390362-6004) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972078251
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE PETERSONCredential: LCMHC
Location Address415 N MAIN ST STE 101Cedar City, UT 84721-6158
Mailing Address415 N Main St Ste 101Cedar City, UT 84721-6158 · (435) 250-4367
Fax(651) 925-0057
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 12, 2018
Last NPPES UpdateMarch 31, 20233 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1972078251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 11390362-6004
415 N MAIN ST STE 101, Cedar City, UT 84721

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 and accepts Medicare assignment

Kyle Peterson Lcmhc 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 ID6204201882
PECOS Enrollment IDI20250926002074
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
415 N MAIN ST STE 101
CEDAR CITY, UT 84721
Counselor (Mental Health)
415 N MAIN ST STE 101
CEDAR CITY, UT 84721
Counselor (Mental Health)
415 N MAIN ST STE 101
CEDAR CITY, UT 84721
Counselor (Mental Health)
415 N MAIN ST STE 101
CEDAR CITY, UT 84721

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 Kyle Peterson's NPI number?

The NPI number for Kyle Peterson is 1972078251. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Kyle Peterson located?

Kyle Peterson practices at 415 N Main St Ste 101, Cedar City, UT 84721. The listed phone number is (701) 852-3328.

What is Kyle Peterson's specialty?

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

Is Kyle Peterson enrolled in Medicare?

Yes. Kyle 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.

What insurance does Kyle Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kyle Peterson 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 Kyle Peterson was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.