Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Kathleen Petersen, LPC

Individual provider Professional Counselor · NPI 1750067823

Amy Kathleen Petersen, LPC is a Mental Health Counselor in Zeeland, Michigan. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

440 S State St
Zeeland, MI 49464-2060
Phone: (616) 741-3790
Fax: (616) 741-3792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3424 Chicago Dr, Hudsonville, MI 49426-1408 — (616) 426-9034

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401225669 (MI)

Record details

NPI number1750067823
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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