LARA JEAN PETERSEN – Mental Health Counselor, NPI 1558974576

LARA JEAN PETERSEN is a healthcare provider. based in Princeton, Illinois. specializing in Mental Health Counselor. The NPI Number for LARA JEAN PETERSEN is 1558974576

Main info

Female
Name
LARA JEAN PETERSEN
NPI
1558974576
Phone
(815) 728-2943
Address
1916 N MAIN ST
Enumeration Date
28 August 2020
Last Update Date
18 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for LARA JEAN PETERSEN

  • 1916 N MAIN ST

    PRINCETON, IL 613569710

    Phone: (815) 728-2943

    Type: Mailing

  • 325 IL ROUTE 2

    DIXON, IL 610219118

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 61356)

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Reviews

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Frequently asked questions

How do payers reference LARA JEAN PETERSEN?
For LARA JEAN PETERSEN, use NPI 1558974576 as the unique 10-digit identifier.
Would LARA JEAN PETERSEN appear as active to a payer?
You can treat LARA JEAN PETERSEN as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LARA JEAN PETERSEN?
LARA JEAN PETERSEN's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LARA JEAN PETERSEN?
Travel planning: use Princeton, Illinois as the reference point for LARA JEAN PETERSEN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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