Jon Walter Petersen, MA, MED, LPCC, CMHC in St Louis Park, MN - Medicare Mental Health Counselor Provider

Jon Walter Petersen, MA, MED, LPCC, CMHC is a medicare enrolled "Counselor - Professional" provider in St Louis Park, Minnesota. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Associated Clinic Of Psychology Inc and his current practice location is 1155 Ford Rd Ste B, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 378-1800.

Jon Walter Petersen is licensed to practice in Minnesota (license number 2463) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831735141.

Contact Information

	Jon Walter Petersen, MA, MED, LPCC, CMHC
	1155 Ford Rd Ste B, St Louis Park, MN 55426-1115
	(952) 378-1800
	(952) 378-1714

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Walter Petersen
Gender	Male
Speciality	Mental Health Counselor
Experience	14 Years
Location	1155 Ford Rd Ste B, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jon Walter Petersen graduated from medical school in 2012

NPI Data:

NPI Number: 1831735141
Provider Enumeration Date: 11/21/2019
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3971018458
Enrollment ID: I20250714003341

Medical Identifiers

Medical identifiers for Jon Walter Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831735141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	12348521-6004 (Utah)	Secondary
101YP2500X	Counselor - Professional	2463 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Clinic Of Psychology Inc	0749171320	129

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Walter Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jon Walter Petersen, MA, MED, LPCC, CMHC 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Jon Walter Petersen, MA, MED, LPCC, CMHC 1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 Ph: (952) 378-1800

Reviews and Comments

Counselor in St Louis Park, MN

Abubakar Binji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 Park Glen Rd, St Louis Park, MN 55416 Phone: 952-888-7055 Fax: 612-605-3312
Shania Vaupel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5354 Parkdale Dr, St Louis Park, MN 55416 Phone: 888-364-5977
Gabrielle Marie Geary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898
Sarah Joy Najafalipour, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, St Louis Park, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Barbarajean Hartos-hord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898
Carrie Salsness, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3705 Park Center Blvd, St Louis Park, MN 55416 Phone: 952-405-7643
Louise Charlotte Rollins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898

Jon Walter Petersen, MA, MED, LPCC, CMHC - Medicare Counselor in St Louis Park, MN