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

MS. Ann Renee Petersen, LPCC, NCC

Individual provider Professional Counselor · NPI 1629170790

MS. Ann Renee Petersen, LPCC, NCC is a Mental Health Counselor in Corrales, New Mexico. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
28
Licensed in
NM
In the registry since
2006
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

4686 Corrales Rd
Corrales, NM 87048-8610
Phone: (505) 400-9913
Fax: (505) 890-1527
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0119911 (NM)

Record details

NPI number1629170790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , NCC
Sole proprietorYes
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corrales