Andrea Peterson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

85722 Issued in CA

Practice address

2378 Maritime Dr Ste 100
Elk Grove, CA 95758-3641

Phone

(916) 849-1273

NPI assigned

Jan 9, 2012

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 CA

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

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

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.

• Grace and Growth Family Counseling PC

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1679460455
  Medicare reassignment NPD (past) Authorized official
• Holding Hope Counseling LLC

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1578316071
  NPD Authorized official

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1609146570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583641",
            "telephone_number": "916-849-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583641",
            "telephone_number": "916-849-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANDREA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69319",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie Anja Perrot, MD
• Maryann Perry
• Natalia Perry
• Kari Personius, PHARMD
• Lupe Pessoa
• Denae Joy Peterson, PSYD
• Douglas Charles Peterson, MD
• Petra Medical Transportation LLC
• Erin Renee Pettis
• Alexis Petty

• Marriage & Family Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.