Susan Carol Peterson, LMHC
Individual provider Active NPI Mental Health Counselor · Winthrop, WA
NPI 1669966446 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1669966446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60824935 (WA)
- Practice address
- 105 Norfolk Rd
Winthrop, WA 98862-4500 - Phone
- (509) 341-4487
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60824935 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sue Peterson Counseling, PLLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60824935 | WA | Yes |
Addresses
Primary practice location
105 Norfolk Rd
Winthrop, WA 98862-4500
Mailing address
PO Box 1022
Winthrop, WA 98862-1022
Phone (509) 341-4487
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- Valerie Lynn Potts
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All providers in Winthrop, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.