Individual provider Active NPI

Megan Petersen

  • Professional Counselor
  • La Grande, OR
National Provider Identifier
1821536632
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5734 Issued in OR
Practice address
2301 Cove Ave
La Grande, OR 97850-3906
Phone
(541) 962-8800
Fax
(541) 963-5272
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23-09-2231 OR
Professional Counselor 101YP2500X C5734 OR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2301 Cove Ave
La Grande, OR 97850-3906

Mailing address

2301 Cove Ave
La Grande, OR 97850-3906
Phone (541) 962-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20250513000603 OR Practitioner - Mental Health Counselor 3375061468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Human Development IncGroup PAC ID 3678578663, 8 clinicians

Practice addresses (Care Compare)

2301 Cove Ave
La Grande, OR 97850-3906
Phone (541) 962-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5734ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc. CurrentSince Mar 22, 2025 Accepting new patients

Locations

2301 Cove Ave
La Grande, OR 97850
Phone (541) 962-8800

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1821536632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503906",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503906",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-09-2231",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5734",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.