DAWN PETERSEN (NPI# 1093252199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093252199 |
| Entity Type | Individual |
| Full Name | DAWN PETERSEN |
| Credential | CSAC |
| Practice Address |
2108-63 Street Kenosha WI 53143-4454 |
| Practice Telephone | 2626522406 |
| Mailing Telephone | 2626522406 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16091-132 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2108-63 STREET |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619379 | Leah J Featherstone | Psychologist | 2108-63 Street, Kenosha, WI 53143-4454 | 2012-08-28 |
| 1982242053 | Emilie Kay | Counselor | 2108-63 Street, Kenosha, WI 53143-5314 | 2019-12-19 |
| 1760020887 | Amber Robinson | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2019-12-19 |
| 1386282564 | Amber Plowman | Counselor | 2108-63 Street, Kenosha, WI 53143-5314 | 2019-12-18 |
| 1962068361 | Kelly Ehnert-horbinski | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2019-05-13 |
| 1336703750 | Latrice Marshall | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2019-05-01 |
| 1902349699 | Monica Nanul | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2016-11-29 |
| 1316480312 | Lori Storm | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1255877148 | Amanda Sherman | Counselor | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2017-01-16 |
| 1326416355 | Donna Jorgensen | Counselor | 815 57th St Unit I, Kenosha, WI 53140-4062 | 2015-09-08 |
| 1275959157 | Nancy Guadagno | Counselor | 6123 Green Bay Rd Ste 240, Kenosha, WI 53142-2927 | 2014-03-14 |
| 1922389352 | Morgan Brittany Diaz | Counselor | 6711 29th Ave, Kenosha, WI 53143-4650 | 2011-08-30 |
| 1609076322 | Eileen G Warren | Counselor | 6501 3rd Ave, Kenosha, WI 53143-5111 | 2007-07-20 |
| 1619024262 | Professional Services Group, Inc. | Counselor | 6233 39th Ave, Kenosha, WI 53142-7015 | 2007-01-05 |
| 1861572372 | Carol Bell | Counselor | 4003 80th St, Suite 101, Kenosha, WI 53142-4995 | 2006-10-17 |
| 1609982040 | Brian A Wolf | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-21 |
| 1831103761 | Nicholas R Mayor | Counselor | 3535 30th Avenue, Suite 202, Kenosha, WI 53144 | 2006-07-28 |
| Find all providers in KENOSHA | ||||
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| 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.