Russell Henry Peterson, M.S.
NPI 1093879637ActiveIndividual· Counselor, Mental Health· Idaho Falls, ID
Counselor, Mental Health (M.S.) with John D Perovich Psyd PLLC, practicing in Idaho Falls, Idaho. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1093879637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. |
| Sole proprietor | No |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LCPC-3125 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (UT) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- John D Perovich Psyd PLLCCenterville, UT · 4 clinicians
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All 144 mental health counselors in Idaho Falls · All mental health counselors in Idaho