Lori D Peterson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4120 Issued in KS

Practice address

6701 W 64TH St Ste 109
Overland Park, KS 66202-4175

Phone

(913) 534-4733

Fax

(913) 229-7511

NPI assigned

Jan 28, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Creative Connections, LLC

  • Mental Health Counselor
  • Overland Park, KS
  • NPI 1033584784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1245536937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024031",
            "telephone_number": "913-544-9285",
            "fax_number": "913-229-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 64TH ST STE 109",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024175",
            "telephone_number": "913-534-4733",
            "fax_number": "913-229-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LORI",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200730810B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Petersen, PT, MS, PCS
• Cynthia Sandquist Peterson, P.T.
• Elizabeth Sorrells Peterson, MD
• Grace Katherine Peterson, LMLP-T
• Kayla Marie Peterson, MS-CCC-SLP
• Maggie Peterson, LMSW
• Michael Joseph Peterson, PT DPT
• Paul Peterson, CRNA
• Rachael Peterson
• Kristen Petrick, BCBA

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.