Active NPI
Megan Petersen
- Professional Counselor
- La Grande, OR
National Provider Identifier
1821536632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5734 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Human Development, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Lagrande, OR
- NPI 1114051315
OR
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.