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BROOKE NOEL PETERSEN LPC
NPI 1982108874
Counselor - Professional in Chicago, IL

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
547 S CLARK ST APT 1001, CHICAGO, IL 60605(630) 803-1062 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Mar 23, 2018 (2 updates tracked since 2018).

About Brooke Noel Petersen Lpc NPPES

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

BROOKE NOEL PETERSEN LPC (NPI 1982108874) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180013512) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982108874
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBROOKE NOEL PETERSENCredential: LPC
Location Address547 S CLARK ST APT 1001Chicago, IL 60605-1547
Mailing Address547 S Clark St Apt 1001Chicago, IL 60605-1547 · (630) 803-1062
Phone(630) 803-1062
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2018
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1982108874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180013512✔ Licensed in IL · 178013712
547 S CLARK ST APT 1001, Chicago, IL 60605
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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

Brooke Noel Petersen Lpc 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 ID5597296434
PECOS Enrollment IDI20241003000728
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.

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 Brooke Petersen's NPI number?

The NPI number for Brooke Petersen is 1982108874. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Brooke Petersen located?

Brooke Petersen practices at 547 S Clark St Apt 1001, Chicago, IL 60605. The listed phone number is (630) 803-1062.

What is Brooke Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brooke Petersen enrolled in Medicare?

Yes. Brooke Petersen 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.

When was this NPI record last updated?

The NPPES record for Brooke Petersen was last updated on May 11, 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.