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

Jennifer R Petersen, LPCC

Individual provider Professional Counselor · NPI 1144992520

Jennifer R Petersen, LPCC is a Mental Health Counselor in Alpha, Minnesota. Qualified in 2020, 6 years ago. Practices with Southwestern Mental Health Center Inc, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Carolina.

Years since qualifying
6
Licensed in
MN, NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

230 Knox St S
Alpha, MN 56111-4006
Phone: (507) 407-9775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Cedar Park Rd, Fairmont, MN 56031 — (507) 407-9775

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 21522 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 4424 (MN)

Record details

NPI number1144992520
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwestern Mental Health Center Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services