MICHAEL ROBERT PETERSON (NPI# 1033544119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033544119 |
| Entity Type | Individual |
| Full Name | MICHAEL ROBERT PETERSON |
| Credential | LMFT |
| Practice Address |
522 4th St S Stillwater MN 55082-4966 |
| Mailing Address |
6201 Saint Croix Trl N Apt 119 Oak Park Heights MN 55082-6966 |
| Practice Telephone | 6122206038 |
| Mailing Telephone | 6122206038 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1565 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| 1770634909 | Michael Warren Peterson | Dermatology | 114 East 800 North, Spanish Fork, UT 84660 | 2007-01-15 |
| Street Address |
522 4TH ST S |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419742 | Heather June Waldvogel | Counselor | 619 Ranch Ave, Stillwater, OK 74075-1432 | 2018-08-31 |
| 1356832091 | Mckenzie Goff | Counselor | 920 S Murphy St Apt 2205, Stillwater, OK 74074-1588 | 2018-05-29 |
| 1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
| 1033588611 | Sarai Cerano | Counselor | 307 N Duncan St, Stillwater, OK 74075-5204 | 2015-09-24 |
| 1609265206 | Brittany Breann Burrell | Counselor | 110 S Brush Creek Rd, Stillwater, OK 74075-8308 | 2015-01-20 |
| 1215366505 | Chelsea Deever | Counselor | 2416 N Star Dr, Stillwater, OK 74075-2655 | 2013-11-06 |
| 1467704874 | Valerie Jean Carter | Counselor | 1624 Cimmaron Plaza - Sioc, Stillwater, OK 74075-3467 | 2012-10-09 |
| 1245505171 | Lexie Lea Garis | Counselor | 502 S Duck St, Stillwater, OK 74074-4051 | 2012-03-10 |
| 1750671194 | Kate Walsh Soucheray | Counselor | 275 3rd St S Ste 303, Stillwater, MN 55082-8001 | 2011-04-18 |
| 1376749523 | Rebecca Leann Sloan | Counselor | 2323 W 7th Street, Stillwater, OK 74074 | 2007-06-25 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on MICHAEL ROBERT PETERSON.
| 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.