Individual provider Active NPI

Courtney M Peters, LPC-S, LAPC

  • Professional Counselor
  • Thief River Falls, MN
National Provider Identifier
1154109544
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
02875 Issued in MN
Practice address
211 Arnold Ave N
Thief River Falls, MN 56701-1827
Phone
(701) 795-8550
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 02875 MN Primary
Professional Counselor 101YP2500X 1325-9-1-23A ND

Addresses

Primary practice location

211 Arnold Ave N
Thief River Falls, MN 56701-1827

Mailing address

1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

Other practice location 1

1717 3rd St NE
Roseau, MN 56751-0000
Phone (701) 795-8550

Other practice location 2

1615 17th Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

Other names 1

  • Courtney M Foldesi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02875MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Christian Counseling Center CurrentSince Jun 2, 2024 Accepting new patients
Northland Christian Counseling Center Inc Mental Health PastSince Jun 2, 2024 Accepting new patients

Locations

211 Arnold Ave N
Thief River Falls, MN 56701
Phone (701) 795-8550

1615 17th Ave S
Grand Forks, ND 58201
Phone (701) 795-8550

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1154109544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015372",
            "telephone_number": "701-795-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ARNOLD AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567011827",
            "telephone_number": "701-795-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 3rd St NE",
            "address_purpose": "LOCATION",
            "city": "Roseau",
            "state": "MN",
            "postal_code": "567510000",
            "country_code": "US",
            "telephone_number": "701-795-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 17th Ave S",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015372",
            "country_code": "US",
            "telephone_number": "701-795-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "LPC-S, LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02875",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1325-9-1-23A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "FOLDESI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thief River Falls, MN

Sources for this page

Verify at the official NPI Registry.