P Praxis·MD
● Active Type 1 · Individual

Betsy Pack Petersen, LMSW

Counselor·Idaho Falls, ID· NPI 1952852436 · Enumerated 2016 · 9 years on NPI
Petersen is 1 of 43 counselor providers in Idaho Falls and 1 of 545 in Idaho.
NPI age
9 years
Enumerated 2016-10-19
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
ID, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-09-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
9 years
≈ at median (8 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
2267 Teton Plz
Idaho Falls, ID 834046486
📞 2085220140fax 2085247335
Mailing address
2267 Teton Plz
Idaho Falls, ID 834046486
📞 2085220140fax 2085247335

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
501 Adesa Blvd, Suite A-150
Lenoir City, TN 37771
📞 8659868082fax 8659865890
Location 3
501 Adesa Blvd, Suite A-150
Lenoir City, TN 37771
📞 8659868082fax 8659865890

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    ID license #LMSW-38030 taxonomy 101Y00000X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    ID license #LMSW-38030TN license #10930 (LMSW) taxonomy 104100000X

Practice context

Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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