MRS. SHERI LYNN PETERSEN (LPCC) – Professional Counselor, NPI 1609602440

MRS. SHERI LYNN PETERSEN (LPCC) is a healthcare provider. based in Eagan, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 4564 (MN). The NPI Number for MRS. SHERI LYNN PETERSEN (LPCC) is 1609602440

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHERI LYNN PETERSEN (LPCC)
NPI
1609602440
Phone
(651) 560-0050
Address
3460 WASHINGTON DR STE 109
Enumeration Date
9 September 2024
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6515600050
Graduation Year
2019 (7 years ago)
PAC ID
7618409970
Group Practice PAC ID
5890139620
Professional Enrollment ID
I20241011003018
Address ID
MN551224301EA3460XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MRS. SHERI LYNN PETERSEN (LPCC)

  • 3460 WASHINGTON DR STE 109

    EAGAN, MN 551224301

    Phone: (651) 560-0050

    Mailing address matches the actual address.

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: 2024-10-11

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
I20241011003018IMental Health CounselorMNTBD

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 55122)

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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: 5890139620View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How do I look up MRS. SHERI LYNN PETERSEN (LPCC) by NPI?
Use NPI 1609602440 when you need to reference MRS. SHERI LYNN PETERSEN (LPCC) in forms, claims, or directories.
Is MRS. SHERI LYNN PETERSEN (LPCC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. SHERI LYNN PETERSEN (LPCC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MRS. SHERI LYNN PETERSEN (LPCC). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SHERI LYNN PETERSEN (LPCC)?
The snapshot lists Eagan, Minnesota for MRS. SHERI LYNN PETERSEN (LPCC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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