CASSIE PETERSON (MS, LMFT) – Mental Health Counselor, NPI 1255819371

CASSIE PETERSON (MS, LMFT) is a healthcare provider. based in Mora, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS, LMFT. They hold a License No. 4207 (MN). The NPI Number for CASSIE PETERSON (MS, LMFT) is 1255819371

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CASSIE PETERSON (MS, LMFT)
NPI
1255819371
Phone
(320) 679-2438
Address
820 Howe Ave Ste 108
Enumeration Date
31 July 2018
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206792438
Graduation Year
2017 (9 years ago)
PAC ID
5092245050
Group Practice PAC ID
9537606967
Professional Enrollment ID
I20250206002078
Address ID
MN550514412MO900XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for CASSIE PETERSON (MS, LMFT)

  • 820 Howe Ave Ste 108

    Mora, MN 550511766

    Phone: (320) 679-2438

    Fax: (320) 679-6906

    Type: Location

  • 108, Howe Avenue, Mora, Kanabec County, Minnesota, 55051, United States

    MORA, MN 550511766

    Phone: (320) 679-2438

    Fax: (320) 679-6906

    Type: Mailing

  • 900 OLD FARM RD

    MORA, MN 550514412

    Phone: (320) 679-2438

    Fax: (320) 679-6906

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250206002078IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537606967View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the registry number for CASSIE PETERSON (MS, LMFT)?
The registry entry for CASSIE PETERSON (MS, LMFT) shows NPI 1255819371.
Is CASSIE PETERSON (MS, LMFT) currently accepting referrals based on NPI status?
Registry metadata lists CASSIE PETERSON (MS, LMFT) as active.
How should patients interpret CASSIE PETERSON (MS, LMFT)'s specialty?
The extract shows Mental Health Counselor for CASSIE PETERSON (MS, LMFT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CASSIE PETERSON (MS, LMFT)?
CASSIE PETERSON (MS, LMFT) is associated with Mora, Minnesota in the same public data insurers reference.
Who maintains CASSIE PETERSON (MS, LMFT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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