Pamela Sue Peterson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401008493 Issued in MI

Practice address

4136 Legacy Pkwy
Lansing, MI 48911-4265

Phone

(517) 882-3732

NPI assigned

Jun 23, 2017

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

Enrolled in MI

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities of Jackson Lenawee and Hillsdale CountiesGroup PAC ID 5597781385, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Catholic Charities of Jackson, Lenawee and Hillsdale Counties

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1689628190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1235659996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 MAPLE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033623",
            "telephone_number": "517-849-2333",
            "fax_number": "517-796-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114265",
            "telephone_number": "517-882-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Peters
• David M Peters, D.O.
• Tonia Lynne Peters, DO
• Holly Peterson, NP
• Linda M Peterson, MD
• William Paul Peterson Jr., MD
• Jennie Marie Petrovich, MSW
• Marshawn Pettes
• Katrina Dawn Pettigrew, LLMSW
• Hannah Margaret Peyerk, OTD, OTRL

• Professional Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.