Sara Peterson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5284 Issued in CO

Practice address

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Phone

(720) 722-1577

NPI assigned

Feb 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Conifer Counseling and Therapy Services, Inc

  • Professional Counselor
  • Conifer, CO
  • NPI 1144658923
  Medicare reassignment NPD Authorized official
• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bailey, CO
  • NPI 1104670983

  Professional

  NPD (past)
• Paragon Behavioral Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairplay, CO
  • NPI 1578305546
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1255671491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804330102",
            "telephone_number": "720-722-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2022-08-05",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5284",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paragon Behavioral Health Connections
• Anya Patel
• Patricia Fiske Ridley, PH.D., LTD.
• Frances U Perez, LMT
• Karen Peters, CPNP
• Lynn Marie Pierzchalski-Goldstein, PHARMD
• Elisabet Asplund Pietz, DPT
• Christina Lynn Pinsinski, M.D.
• Madeline Plucknette, PT, DPT
• Podiatry Associates, Inc

• Professional Counselor in Conifer, CO
• Providers in Conifer, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.