Sydney K. Peters, LICSW
NPI 1992279152ActiveIndividual· Counselor, Mental Health· Farmington, MN
Counselor, Mental Health (LICSW) with Pure Potential Counseling, practicing in Farmington, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1992279152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jan 21, 2019 |
| Last updated in NPPES | Apr 5, 2024 |
| Certified by provider | Apr 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 31151 | MN |
| Case Manager/Care Coordinator | 171M00000X | — | — |
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 Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Pure Potential CounselingFarmington, MN · 2 clinicians
Other Counselor, Mental Health providers in Farmington
- 1760352090
- 1831013812
- 1598491151
- 1114542610
- 1679304885
- 1053134684