MR. ERIK JON PETERSEN (NPI# 1003060302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003060302 |
| Entity Type | Individual |
| Full Name | MR. ERIK JON PETERSEN |
| Credential | LPC |
| Practice Address |
9139 Ridgeline Blvd Highlands Ranch CO 80129-2333 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2017-10-17 |
| NPI Deactivation Date | 04/18/2013 |
| NPI Reactivation Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0012435 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 84054212 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 026708 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10350 E Dakota Ave, Ste B, Denver, CO 802471314 | 3033384545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043621048 | Erik Thomas Petersen | Dermatology | 6655 Travis St., Suite 600, Houston, TX 77030 | 2014-05-13 |
| 1538480389 | Erik J Petersen | Behavioral Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2010-06-16 |
| 1922210251 | Erik J Petersen | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92408-3551 | 2007-05-07 |
| 1699716910 | Erik Christian Petersen | Emergency Medicine | 990 Oak Ridge Tpke, Oak Ridge, TN 37830 | 2006-06-09 |
| Street Address |
9139 RIDGELINE BLVD |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80129-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285696443 | William Rodriguez Cartagena | Psychiatry & Neurology | 9139 Ridgeline Blvd, Highlands Ranch, CO 80129-2333 | 2006-04-04 |
| 1508397571 | Kara Copanas | Physical Therapist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-03-22 |
| 1700324027 | Virginia Johnston | Physical Therapist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-02-07 |
| 1295273860 | Erin Terry | Occupational Therapist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-02-03 |
| 1740727999 | Sarah Waldorf | Speech-Language Pathologist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-01-26 |
| 1871030957 | Jaime Chadek | Speech-Language Pathologist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-01-26 |
| 1558807362 | Robin Dwyer | Speech-Language Pathologist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-01-18 |
| 1831635689 | Angie Hintz | Occupational Therapist | 9139 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2333 | 2017-01-17 |
| 1669918447 | Brittany Zetah | Occupational Therapist | 9139 Ridgeline Blvd, Highlands Ranch, CO 80129-2333 | 2017-01-17 |
| 1669918421 | Mary Lou B Johnson | Speech-Language Pathologist | 9139 Ridgeline Blvd, 100, Highlands Ranch, CO 80129-2333 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874027 | Sarah Elizabeth Gerken | Occupational Therapist | 9375 Roadrunner Street, Highlands Ranch, CO 80129 | 2020-09-02 |
| 1952928863 | Juliana Le | Nurse Practitioner | 9088 S. Ridgeline Blvd, Highlands Ranch, CO 80129 | 2020-06-26 |
| 1376046367 | Richard F Shriner | Counselor | 1745 Shea Center Dr.. Ste. 421, Highlands Ranch, CO 80129 | 2018-03-15 |
| 1285145144 | Antonella Valencia | Specialist/Technologist | 8362 Erickson Blvd Apt 9304, Littleton, CO 80129 | 2017-10-18 |
| 1306384763 | Amy Neer | Physical Therapist | 9139 South Ridgeline Rd, Highlands Ranch, CO 80129 | 2017-02-06 |
| 1235673443 | Kathryn Lohrman | Physical Therapist | 1265 Sergeant Jon Stiles Drive, Suite D, Highlands Ranch, CO 80129 | 2016-12-06 |
| 1790237626 | Erica Elizabeth Alonzo | Physician Assistant | 9497 Wolfe Ct, Highlands Ranch, CO 80129 | 2016-10-26 |
| 1689129181 | Casey Elizabeth Bauer | Specialist/Technologist | 10504 Colby Canyon Dr, Highlands Ranch, CO 80129 | 2016-08-25 |
| 1558769539 | Kari Barton Md LLC | Clinic/Center | 9088 South Ridgeline Blve., Ste. #201, Highlands Ranch, CO 80129 | 2014-12-08 |
| 1710386461 | Linda L Williams Md PC | Community/Behavioral Health | 9088 S Ridgeline Blvd, Highlands Ranch, CO 80129 | 2014-08-19 |
| Find all providers in zip 80129 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818230 | Carly Barone | Counselor | 9503 Castle Ridge Cir, Highlands Ranch, CO 80129-5700 | 2020-10-11 |
| 1487273454 | Deborah Sue Levy | Counselor | 10179 Meadowbriar Ln, Highlands Ranch, CO 80126-7845 | 2020-04-10 |
| 1689131047 | Monica Trueman | Counselor | 8412 S Willow Creek St, Highlands Ranch, CO 80126-2029 | 2019-02-21 |
| 1770009854 | Kathleen Victoria Hendrickson | Counselor | 200 Plaza Dr Ste 200, Highlands Ranch, CO 80129-2348 | 2017-08-20 |
| 1467995258 | Inna Ermakov | Counselor | 8979 Miners Pl, Highlands Ranch, CO 80126-5057 | 2016-11-28 |
| 1184178527 | Im Counseling | Counselor | 8850 Blue Mountain Pl, Highlands Ranch, CO 80126-2803 | 2016-08-14 |
| 1063751261 | Ashley Jean Manson | Counselor | 9361 Weeping Willow Ct, Highlands Ranch, CO 80130-4471 | 2013-02-07 |
| 1598095879 | Mary Kay Kennedy | Counselor | 2121 E Dad Clark Drive, Highlands Ranch, CO 80130 | 2010-01-08 |
| 1477724680 | Theodore E. Lunde | Counselor | 8941 Jimson Weed Way, Highlands Ranch, CO 80126-2641 | 2008-03-14 |
| 1245459346 | B Carl Ballard | Counselor | 10318 Sparrow Hawk Way, Highlands Ranch, CO 80129-5672 | 2007-04-25 |
| Find all providers in HIGHLANDS RANCH | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
Please comment or provide details below to improve the information on MR. ERIK JON PETERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.