Individual provider Active NPI

Abby L Peterfeso, LPCC, LPC

  • Professional Counselor
  • Hopkins, MN
National Provider Identifier
1265773378
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC1564 Issued in MN
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

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC-6045COMDProfessional Counselor
LPCC1564MNMDProfessional Counselor
CTB-2023-0588NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Peterfeso LLC CurrentSince Oct 1, 2021 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.

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.

Verify at the official NPI Registry.