COURTNEY PETERSON
NPI 1962954750
Counselor - Professional in Detroit Lakes, MN

NPI Status: Active since October 27, 2016

Contact Information

1041 HAWK ST
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 844-6853

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 12
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About COURTNEY PETERSON

This page provides the complete NPI Profile along with additional information for Courtney Peterson, a provider established in Detroit Lakes, Minnesota with a medical specialization in Counselor, focusing in professional and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1962954750 assigned on October 2016. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1962954750
Provider Name
COURTNEY PETERSON
Other Name
COURTNEY KASTNING
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1041 HAWK ST DETROIT LAKES, MN 56501
Location Phone
(218) 844-6853
Mailing Address
1547 30TH AVE S MOORHEAD, MN 56560
Mailing Phone
(218) 287-4338
Mailing Fax
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
10-27-2016
Last Update Date
10-27-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Courtney Peterson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Courtney Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951752161

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240111002176

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for COURTNEY PETERSON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962954750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221858710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 8 + 5 + 8 + 7 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962954750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174096481 ELIZABETH WAGNER
Individual
Social Worker (Clinical)1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1699246983 COURTNEY VAN DEN BUSSCHE-DOLL LPCC
Individual
Counselor (Professional)1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1942972104 ASHLEY HOLMER
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1396831509MR. WILLIAM ARTHUR METCALFE LICSW
Individual
Social Worker (Clinical)1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1629735238 LACEY BLEICHNER
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1780341933 LAUREN ANDERSON
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1891451944 JENNY JOY
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1700547262 BLAYNE OHMAN
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1730840232 ANIKA BOHMER
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1487301305 JACOB RAY RICHTER
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 844-6853
1063153096 KAILEE LEFEBVRE
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1124766746 MARGARET SKOGMO
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1518697226 MELISSA BOIT
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1518695329 ZACHARY FENNELL
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1760110803 ALYSSA MICHAELSON
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1427767995 MACKENZIE SYKES
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1497457899 JUSTIN BERG
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1659061034 RACHEL CAULFIELD
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1891487955 APRIL KETELHUT
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338
1215617360 TRU BLAKE
Individual
Specialist1041 HAWK ST
DETROIT LAKES, MN 56501
(218) 287-4338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962954750, enumerated in the NPI registry as an "individual" on October 27, 2016

The provider is located at 1041 Hawk St Detroit Lakes, Mn 56501 and the phone number is (218) 844-6853

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 12 years of experience.

The provider might be accepting Accepts: HealthPartners and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on October 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.