Lady Carolina Pedersen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204460 Issued in TX

Practice address

8956 Research Blvd BLDG 2
Austin, TX 78758-5969

Phone

(512) 451-7337

NPI assigned

Jan 7, 2025

Last updated

Dec 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Center for Counseling and Pastoral Care, Inc.Group PAC ID 0244265130, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Samaritan Center for Counseling and Pastoral Care, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1801936133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1851100440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 LANCRET HILL DR APT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454717",
            "telephone_number": "786-319-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585969",
            "telephone_number": "512-451-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "LADY",
        "middle_name": "CAROLINA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peck, L.AC.
• Moe Peck, PH.D,ATR,LPC
• Gregory A Peco, PA-C
• Lakshmi Peddu, RDN
• Annelisa Helene Pedersen, PHD
• Sue Snyder Pederson, MSSW LCSW
• Pedi Spot LLC
• Pediaq LLC
• Pediatric and Allergy Clinic of Austin, PA
• Pediatric Associates of Austin, P.a.

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.