MR. JOHN PETERSON III
NPI 1992204044
Counselor - Mental Health in Lafayette, IN

Active since February 05, 2018PECOS EnrolledAccepts Medicare Assignment
610 MAIN ST, LAFAYETTE, IN 47901(765) 423-2638(765) 742-4196 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Peterson Iii NPPES

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

MR. JOHN PETERSON III (NPI 1992204044) is an individual mental health provider in Lafayette, Indiana and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992204044
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHN PETERSON III
Location Address610 MAIN STLafayette, IN 47901-1451
Mailing Address610 Main StLafayette, IN 47901-1451
Fax(765) 742-4196
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 5, 2018
NPI 1992204044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
610 MAIN ST, Lafayette, IN 47901

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

Mr. John Peterson Iii 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 ID6406204965
PECOS Enrollment IDI20231122002111
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.

Clinical Nurse Specialist (Psychiatric/Mental Health)
610 MAIN ST
LAFAYETTE, IN 47901
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Social Worker (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Counselor (Mental Health)
610 MAIN ST
LAFAYETTE, IN 47901
Clinical Nurse Specialist (Psychiatric/Mental Health)
610 MAIN ST
LAFAYETTE, IN 47901
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901
Psychologist (Clinical)
610 MAIN ST
LAFAYETTE, IN 47901

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 John Peterson's NPI number?

The NPI number for John Peterson is 1992204044. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is John Peterson located?

John Peterson practices at 610 Main St, Lafayette, IN 47901. The listed phone number is (765) 423-2638.

What is John Peterson's specialty?

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

Is John Peterson enrolled in Medicare?

Yes. John 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 John Peterson accept?

Health plans from CareSource list John 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 John Peterson was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.