Active NPI
Abby L Peterfeso, LPCC, LPC
- Professional Counselor
- Hopkins, MN
National Provider Identifier
1265773378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC1564
- Practice address
- 750 2ND St NE Ste 218
Hopkins, MN 55343-8124 - Phone
- (612) 842-1515
- Fax
- (612) 457-1547
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2023-0588 | NM | |
| Professional Counselor | 101YP2500X | LPC-6045 | CO | |
| Professional Counselor | 101YP2500X | LPCC1564 | MN | Primary |
Addresses
Primary practice location
750 2ND St NE Ste 218
Hopkins, MN 55343-8124
Mailing address
5775 Wayzata Blvd Ste 700-4029
St Louis Park, MN 55416-1222
Phone (612) 842-1515
Other practice location 1
5775 Wayzata Blvd Ste 700-4029
St Louis Park, MN 55416-1222
Phone (612) 842-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-6045 | CO | MD | Professional Counselor |
| LPCC1564 | MN | MD | Professional Counselor |
| CTB-2023-0588 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abby Peterfeso LLC | Current | Accepting new patients |
Locations
750 2nd St NE
Ste 218
Hopkins, MN 55343
Phone (612) 440-8742
11500 Wayzata Blvd
Minnetonka, MN 55305
Phone (608) 469-7043
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Hopkins, MN
- NPI 1730842519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1265773378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD STE 700-4029",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-842-1515",
"fax_number": "612-457-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 2ND ST NE STE 218",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438124",
"telephone_number": "612-842-1515",
"fax_number": "612-457-1547"
}
],
"practiceLocations": [
{
"address_1": "5775 Wayzata Blvd Ste 700-4029",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554161222",
"country_code": "US",
"telephone_number": "612-842-1515",
"fax_number": "612-457-1547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERFESO",
"first_name": "ABBY",
"middle_name": "L",
"credential": "LPCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2023-0588",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC-6045",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPCC1564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.