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Peter Moises Falcon , LPCC

Counselor - Professional β€’ Otsego, MN

Active NPI 1508212812 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

9245 Quantrelle Ave Ne
Otsego, MN 553300168

Call 7637469492 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9245 Quantrelle Ave Ne

Otsego, MN 553300168

Telephone 7637469492
Fax 7637463685
Organization at the Same NPPES Address or Phone
Nystrom & Associates Counseling Wi., S.c. Facility NPI 1104549047

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Nystrom And Associates Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Peter Falcon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Peter Falcon as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Otsego and Minnesota

14 active clinicians are listed under Counselor - Professional with a practice address in Otsego, MN (2,472 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Otsego

21.4% of these 14 clinicians have the CMS telehealth indicator.

42.9% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MN 2052
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES NE 10678
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES MN 2052
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240110002423

Enrollment State Jurisdiction

MN

PECOS Control ID

9638520026

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Nystrom And Associates Ltd

9245 Quantrelle Ave Ne, Otsego, MN 553300168

Phone: 7637469492

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Patricia Brown

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1568741502
Thelma Browne-Kaine , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1700174596

Psychiatric-Mental Health Nurse Practitioner

Susan Cuny

Nurse Practitioner - Pediatrics

NPI 1225576101
Jodi Dessellier , PA-C

Physician Assistant

NPI 1992263917

Physician Assistant (Certified)

Dr. Ann Kooiker , MD

Psychiatry & Neurology - Psychiatry

NPI 1437108008

Doctor of Medicine (M.D.)

Jasmin Lindberg , PA-C

Physician Assistant

NPI 1184341984

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location September 03, 2025

Registered at 9245 QUANTRELLE AVE NE, OTSEGO, MN 553300168 (Tel: 7637469492)

πŸ“
Updated Business Mailing Address September 03, 2025

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

πŸ‘€
Provider Name / Credentials Updated September 03, 2025

Recorded as PETER FALCON, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Counselor (license number reported to NPPES: MN 2052)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Counselor (license number reported to NPPES: NE 10678)

πŸ“
Updated Practice Location March 28, 2023

Registered at 7767 ELM CREEK BLVD N STE 220, MAPLE GROVE, MN 553697067 (Tel: 6513138080)

πŸ“
Updated Business Mailing Address March 28, 2023

Registered at 1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 551201281 (Tel: 6513138080)

πŸ‘€
Provider Name / Credentials Updated March 28, 2023

Recorded as PETER FALCON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2023

Counselor (license number reported to NPPES: MN 2052)

βœ…
NPI Profile Active May 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2016

Registered at 2302 8TH AVE STE 5, PLATTSMOUTH, NE 680482365 (Tel: 4022960531)

πŸ“
Business Mailing Address (Initial Record) May 05, 2016

Registered at 5429 N 109TH PLZ APT 1138, OMAHA, NE 681644417 (Tel: 4029803594)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2016

Recorded as PETER FALCON, PLMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2016

Counselor (license number reported to NPPES: NE 10678)

🟒
Initial NPI Registration & Enumeration May 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508212812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2016
Last Update: September 03, 2025
Sole Proprietor: Yes

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.