Katie Peterson-Benson, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401225342 Issued in MI

Practice address

2422 Burton St SE Ste B
Grand Rapids, MI 49546-4810

Phone

(616) 226-6522

Fax

(616) 608-6751

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1124757182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PADDOCK AVE SE APT 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 BURTON ST SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464810",
            "telephone_number": "616-226-6522",
            "fax_number": "616-608-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-BENSON",
        "first_name": "KATIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401225342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Petersen, MD
• Hanna Louise Petersen
• Jennifer Petersen, LLMSW
• Marquita Petersen
• Shelby Petersen
• Brady Lee Peterson, PAC
• Chelsea Rae Peterson, NP
• Chenice Peterson
• David O. Peterson, D.O.
• Erik Christopher Peterson, NP

• Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.