Connie Lynn Petersen, PHD
NPI 1598958811ActiveIndividual· Psychologist, Clinical· Norfolk, NE
Psychologist, Clinical (PHD) with Oasis Counseling International, practicing in Norfolk, Nebraska. Medicare paid $37,424 for services to 21 patients in 2024.
Overview
| NPI | 1598958811 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Aug 21, 2007 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 724 | NE |
| Psychologist, Clinical | 103TC0700X | 310 | NE |
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 - Clinical Psychologist (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 369 across 5 procedure codes |
| Paid by Medicare | $37,424 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Oasis Counseling InternationalNorfolk, NE · 11 clinicians
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