Bailey Catherine Peterson, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3499 Issued in MN

Practice address

760 Stillwater Rd Ste 101
Mahtomedi, MN 55115-2060

Phone

(763) 200-1957

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 29, 2025 through May 29, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Psychological Services Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1548428170
  NPD (past)
• Lighthouse Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1972774834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1063995272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD STE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "763-200-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD STE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "763-200-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BAILEY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Norris
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• Jessica Ann Pehrson
• Kayla Pilarski
• Jean Marie Plattner, LADC
• Nicole Poirier
• Psa Housing & Assisted Living
• Miriam Beth Rosenberg, LCSW

• Marriage & Family Therapist in Mahtomedi, MN
• Providers in Mahtomedi, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.