Individual provider Active NPI

Kerri Peterson, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1083231153
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12275 Issued in NE
Practice address
815 K St
Lincoln, NE 68508-2960
Phone
(402) 474-0011
Fax
(402) 474-0012
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12275 NE Primary
Social Worker 104100000X 7499 NE

Addresses

Primary practice location

815 K St
Lincoln, NE 68508-2960

Mailing address

815 K St
Lincoln, NE 68508-2960
Phone (402) 474-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12275NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Heart Counseling Inc Current Accepting new patients
Jenda Family Services CurrentSince Jun 9, 2024 Accepting new patients

Locations

4701 Innovation Dr
Lincoln, NE 68521
Phone (402) 474-0011

4600 Valley Rd
Ste 350
Lincoln, NE 68510
Phone 4024740011 ext. 40247

4600 Valley Rd
Lincoln, NE 68510
Phone (402) 483-4571

815 K St
Lincoln, NE 68508
Phone 4024740011 ext. 3

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1083231153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082960",
            "telephone_number": "402-474-0011",
            "fax_number": "402-474-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082960",
            "telephone_number": "402-474-0011",
            "fax_number": "402-474-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KERRI",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12275",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.