Ms Ann Renee Petersen, LPCC, NCC in Corrales, NM

Ms Ann Renee Petersen, LPCC, NCC is a medicare enrolled "Counselor - Professional" provider in Corrales, New Mexico. Her current practice location is 4686 Corrales Rd, Corrales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 400-9913.

Ms Ann Renee Petersen is licensed to practice in New Mexico (license number 0119911) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629170790.

Contact Information

	Ms Ann Renee Petersen, LPCC, NCC
	4686 Corrales Rd, Corrales, NM 87048-8610
	(505) 400-9913
	(505) 890-1527

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Ann Renee Petersen
Gender	Female
Speciality	Counselor - Professional
Location	4686 Corrales Rd, Corrales, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629170790
Provider Enumeration Date: 09/01/2006
Last Update Date: 05/24/2009

Medicare PECOS Information:

PECOS PAC ID: 4385096833
Enrollment ID: I20240119002446

Medical Identifiers

Medical identifiers for Ms Ann Renee Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629170790	NPI	-	NPPES
33007829	Medicaid	NM
615695	Other	NM	VALUE OPTIONS
613923500	Other	NM	OFFICE OF WORKERS' COMPENSATIONS PROGRAMS, FECA, DEPT OF LABOR
201-047-937	Other	NM	PRESBYTERIAN HEALTH PLANS
0000036606	Other	NM	STATE OF NM, DEPT. OF VOCATIONAL REHAB
10012607	Other	NM	LOVELACE PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0069062 (New Mexico)	Secondary
101YP2500X	Counselor - Professional	0098101 (New Mexico)	Secondary
101YP2500X	Counselor - Professional	0119911 (New Mexico)	Primary

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. Ms Ann Renee 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
Ms Ann Renee Petersen, LPCC, NCC Po Box 3237, Corrales, NM 87048-3237 Ph: (505) 400-9913	Ms Ann Renee Petersen, LPCC, NCC 4686 Corrales Rd, Corrales, NM 87048-8610 Ph: (505) 400-9913

Reviews and Comments

Counselor in Corrales, NM

Tara Lynn Richardson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2469 Corrales Rd, Suite E, Corrales, NM 87048 Phone: 505-830-1871
Marie Ginga, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4448 Corrlaes Rd., Corrales, NM 87048 Phone: 505-450-1948 Fax: 505-898-8900
Lisa Clugston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Corrales Rd Ste 4e, Corrales, NM 87048 Phone: 505-238-6420
Dr. Carol A. Brennan, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Corrales Rd, #4e, Corrales, NM 87048 Phone: 505-255-7077 Fax: 505-890-1313
Ms. Mallory Helen Burnett, M.A. LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2469 Corrales Road N.w., Corrales, NM 87048 Phone: 505-717-9552 Fax: 505-369-1121
Veronica Darlene Reeder, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3949 Corrales Rd Ste 105, Corrales, NM 87048 Phone: 505-273-6300
Robin Ingram, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 30 Don Tomas, Corrales, NM 87048 Phone: 505-206-6725

Ms Ann Renee Petersen, LPCC, NCC - Medicare Counselor in Corrales, NM