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Active NPI 1679110779 Individual Practitioner Female Practitioner

Amy Peterson , LPC-IT

Counselor - Professional • Mount Pleasant, WI

Professional Overview & Biography Verified Profile Summary

Amy Peterson, LPC-IT is a registered healthcare professional specializing in Counselor - Professional in Mount Pleasant, WI. Practice services are available at 6233 DURAND AVE STE F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6233 Durand Ave Ste F

Mount Pleasant, WI 534064961

Telephone 2625548165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mount Pleasant, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
22 Specialists

Practicing in Mount Pleasant, WI (4511 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 4510226

Definition to come...

Secondary Practice Locations

6233 Durand Ave Ste F

Mount Pleasant, WI 534064961

Phone: 2625548165

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Monica Mason , MS LPC

Counselor - Professional

NPI 1114063823

MSLPC

Carole Della Pia , LCSW

Social Worker - Clinical

NPI 1124173323

Licensed Clinical Social Worker

Angela Dellise , LPC, CSAC, CS-IT

Counselor - Professional

NPI 1164718151

Licensed Professional Counselor, Certified Substance Abuse Counselor, CSIT

Jann Widuch , LPC

Counselor - Professional

NPI 1396913943

Licensed Professional Counselor

Margaret Tungseth , LCSW

Social Worker - Clinical

NPI 1891848099

Licensed Clinical Social Worker

Terri Kading-Wheeler , LCSW

Social Worker - Clinical

NPI 1922153766

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2019

Registered at 6233 DURAND AVE STE F, MOUNT PLEASANT, WI 534064961 (Tel: 2625548165)

📍
Updated Business Mailing Address December 08, 2019

Registered at 6905 BOBOLINK RD, RACINE, WI 534021344 (Tel: 2622217200)

👤
Provider Name / Credentials Updated December 08, 2019

Recorded as AMY PETERSON, LPC-IT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2019

Counselor (License #4510226 in WI)

🟢
Initial NPI Registration & Enumeration December 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679110779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2019
Last Update: December 08, 2019
Sole Proprietor: No

Mailing Address

6905 Bobolink Rd

Racine, WI 534021344

Phone: 2622217200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.