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

Lisa M Petersen, LMHP

Individual provider Counselor · NPI 1063707305

Lisa M Petersen, LMHP is a Mental Health Counselor in Council Bluffs, Iowa. Qualified in 2009, 17 years ago. Licensed in Iowa and Nebraska.

Years since qualifying
17
Licensed in
IA, NE
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

801 Harmony St Ste 302
Council Bluffs, IA 51503-3106
Phone: (712) 328-2609
Fax: (712) 328-9257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 001501 (IA)
Counselor Taxonomy 101Y00000X · Licence 8871 (NE)

Record details

NPI number1063707305
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHP
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESAugust 3, 2015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Council Bluffs