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

Kacey Peterson

Individual provider Mental Health Counselor · NPI 1033873260

Kacey Peterson is a Mental Health Counselor in Selden, New York. Qualified in 2020, 6 years ago. Practices with Mccd Psychiatry Services PLLC, a 206-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021

Practice location Address checks out

38 Fran Ln
Selden, NY 11784-2641
Phone: (631) 681-0892
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014302 (NY)

Record details

NPI number1033873260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2021
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address38 Fran Ln, Selden, NY 11784-2641

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 McCd Psychiatry Services Pllc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Selden