Sheri Lynn Petersen, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4564 Issued in MN

Practice address

3460 Washington Dr Ste 109
Eagan, MN 55122-4301

Phone

(651) 560-0050

Fax

(651) 925-0257

NPI assigned

Sep 9, 2024

Last updated

Sep 10, 2024By the provider in NPPES

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

Other names 1

• Ms. Sheri Lynn Kruse Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Threads of Hope Counseling LLCGroup PAC ID 5890139620, 9 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Threads of Hope Counseling, LLC

  • Marriage & Family Therapist
  • Eagan, MN
  • NPI 1194190728

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609602440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 109",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "651-560-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 109",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "651-560-0050",
            "fax_number": "651-925-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SHERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "KRUSE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Korbyn Perpich, DDS
• Todd Perry, A-GNP-C
• Amanda Natasha Persaud-Deosaran, APRN
• Amber Petereck
• John Robert Petersen, DDS
• Peterson Counseling and Supervision, LLC
• Anna Peterson
• Ashley Julian Peterson
• Gerald Frederick Peterson, MD
• Jessica Ann Peterson, LICSW, CSW-PIP

• Professional Counselor in Eagan, MN
• Providers in Eagan, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.