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

Individual provider Professional Counselor · NPI 1487852406

Kathryn M. Peterson, LPC is a Mental Health Counselor in De Pere, Wisconsin. Qualified in 2002, 24 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3860 Monroe Rd
De Pere, WI 54115-8399
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3670-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 3670-125 (WI)

Record details

NPI number1487852406
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in De Pere