PAIGE PETERSEN – Marriage & Family Therapist, NPI 1063925915
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 MARRIAGE AND FAMILY THERAPIST in NV
Provider Addresses for PAIGE PETERSEN
431 MISSION DR
HENDERSON, NV 890029203
Phone: (702) 370-2293
Type: Mailing
1489 W WARM SPRINGS RD STE 110
HENDERSON, NV 890147367
Phone: (702) 370-2293
Type: Location
Elida Road, Delphos, Allen County, Ohio, 45833, United States
DELPHOS, OH 458339056
Phone: (419) 695-8010
Fax: (419) 694-0004
Type: Mailing
4285, North Rancho Drive, Las Vegas, Clark County, Nevada, 89130, United States
LAS VEGAS, NV 891303446
Phone: (702) 385-5331
Type: Location
1452 W HORIZON RIDGE PKWY # 261
HENDERSON, NV 890124422
Phone: (702) 370-2293
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: 2025-03-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250317001201 | I | Marriage And Family Therapist | NV | TBD |
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.
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 89002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Undefined Non Physician Type (Specify) | NV | |
| Clinical Social Worker | NV | |
| Clinical Social Worker | NV | |
| Clinical Social Worker | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Clinical Social Worker | NV |
Reviews
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