Ms Judeth Petersen, MA, LPC - Counselor in Gillette, WY

Ms Judeth Petersen, MA, LPC is a Counselor based in Gillette, Wyoming. Ms Judeth Petersen is licensed to practice in Wyoming (license number LPC-1129) and her current practice location is 501 S Burma Ave, Gillette, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 688-5000.

NPI number for Ms Judeth Petersen is 1033263652 and her current mailing address is 501 S Burma Ave, Gillette, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033263652.

Contact Information

Ms Judeth Petersen, MA, LPC
501 S Burma Ave,
Gillette, WY 82716-3426
(307) 688-5000
(307) 688-5015

Healthcare Provider's Profile

Full NameMs Judeth Petersen
GenderFemale
SpecialityCounselor
Location501 S Burma Ave, Gillette, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033263652
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 08/25/2011

Medical Identifiers

Medical identifiers for Ms Judeth Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033263652NPI-NPPES
LPC-1129OtherWYSTATE OF WYOMING MENTAL HEALTH PROFESSIONS LICENSING BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1512 (North Dakota)Secondary
101Y00000XCounselor LPC-1129 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Judeth Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Judeth Petersen, MA, LPC
501 S Burma Ave,
Gillette, WY 82716-3426

Ph: (307) 688-5000
Ms Judeth Petersen, MA, LPC
501 S Burma Ave,
Gillette, WY 82716-3426

Ph: (307) 688-5000

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Counselor in Gillette, WY

Jean-raphael De Raoulx, PPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 Warren Ave, Gillette, WY 82716
Phone: 307-682-2034    
Jane R King, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 702 S Kendrick Ave, Gillette, WY 82716
Phone: 307-688-8700    
Tara Reed, M.A., NCC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1800 West 4-j Rd., Gillette, WY 82718
Phone: 307-682-5433    
Rebecca N Terry, PLPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 Warren Ave, Gillette, WY 82716
Phone: 307-682-3024    
Ms. Sarah Leger-hayworth, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 W Lakeway Rd Ste 311, Gillette, WY 82718
Phone: 307-363-5930    
Ms. Amanda Forister, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 542 Running W Dr, Gillette, WY 82718
Phone: 307-257-2331    Fax: 307-670-8042

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