Courtney Peterson
NPI 1962954750ActiveIndividual· Counselor, Professional· Detroit Lakes, MN
Counselor, Professional in Detroit Lakes, Minnesota, with an NPI issued in October 2016. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1962954750 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 27, 2016 |
| Last updated in NPPES | Oct 15, 2025 |
| Certified by provider | Oct 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Behavior Analyst | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Other Counselor, Professional providers in Detroit Lakes
- 1528639101
- 1427439223
- 1134932957
- 1154110765
- 1265003024
- 1861870818
- 1245829720
- 1326830274
- 1699246983