STEFANIE PETERSEN – Marriage & Family Therapist, NPI 1922448588

STEFANIE PETERSEN is a healthcare provider. based in Layton, Utah. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 8772895-3902 (UT). The NPI Number for STEFANIE PETERSEN is 1922448588

Main info

Female
Sole Proprietor
13 Years Of Experience
Name
STEFANIE PETERSEN
NPI
1922448588
Phone
(801) 336-1845
Address
934 S Main St
Enumeration Date
27 June 2013
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015254645
Graduation Year
2013 (13 years ago)
PAC ID
2264870815
Group Practice PAC ID
8527598796
Professional Enrollment ID
I20240402003488
Address ID
UT840416910LA2363XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

148 MARRIAGE AND FAMILY THERAPIST in UT

Provider Addresses for STEFANIE PETERSEN

  • 934 S Main St

    Layton, UT 840417135

    Phone: (801) 336-1845

    Type: Location

  • 934 S MAIN ST

    LAYTON, UT 840417135

    Phone: (801) 773-7060

    Type: Mailing

  • 951 E 250 S

    LAYTON, UT 840414467

    Phone: (801) 660-7091

    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: 2024-04-02

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
I20240402003488IMarriage And Family TherapistUTTBD

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 84041)

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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: 8527598796View full group profile
NameSpecialtyState
Mental Health CounselorUT
Marriage And Family TherapistUT

Reviews

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Frequently asked questions

Does STEFANIE PETERSEN have a public NPI I can cite?
Public records show STEFANIE PETERSEN under NPI 1922448588.
Does the public listing show STEFANIE PETERSEN as active?
STEFANIE PETERSEN's NPI record reflects an active status in NPPES.
What does the directory say STEFANIE PETERSEN does?
Insurance directories may phrase it differently, but here STEFANIE PETERSEN maps to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit STEFANIE PETERSEN in Layton, Utah?
For routing, start with Layton, Utah for STEFANIE PETERSEN, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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