MR. JESSIE PETERS (NPI# 1164512984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512984 |
| Entity Type | Individual |
| Full Name | MR. JESSIE PETERS |
| Credential | LCSW |
| Practice Address |
4386 Trail Boss Dr Castle Rock CO 80104-7512 |
| Practice Telephone | 7203845523 |
| Practice Fax Number | 3036888260 |
| Mailing Telephone | 7203845523 |
| Mailing Fax Number | 3036888260 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1274 | KS | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
992728 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548593452 | Jessie Joann Peters | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2009-09-09 |
| Street Address |
4386 TRAIL BOSS DR |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474751 | Doris Andrea Kleinert | Family Medicine | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2005-11-16 |
| 1407466238 | L J Gottschalk, LLC | Orthopaedic Surgery | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2020-08-06 |
| 1659822930 | Katie Callene Masters | Physician Assistant | 4386 Trail Boss Dr, Castle Rock, CO 80104 | 2016-10-20 |
| 1922272772 | Beth Ann Hoekstra | Physician Assistant | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2008-04-14 |
| 1609057991 | Founders Physical Therapy LLC | Clinic/Center | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2007-11-15 |
| 1306966221 | Ralph Bidwell | Physical Therapist | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2007-04-02 |
| 1659402618 | Eric Plummer | Chiropractor | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2007-03-08 |
| 1700954740 | Heidi Kathaleen Bailey | Physician Assistant | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2006-11-30 |
| 1346271210 | Anthony George Cerullo | Physician Assistant | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2006-07-06 |
| 1578594727 | Kc Medical PC | Family Medicine | 4386 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578671 | Laura L Hogzett | Counselor | 406 Jerry St Ste 105, Castle Rock, CO 80104-2465 | 2020-11-05 |
| 1689292500 | Tina Tis | Counselor | 1 Oakwood Park Plz Ste 120, Castle Rock, CO 80104-1849 | 2020-07-07 |
| 1609406206 | Haleigh Rice | Counselor | 599 Topeka Way Ste 312, Castle Rock, CO 80109-3132 | 2020-01-22 |
| 1851892871 | Courtneyrose Chung | Counselor | 695 Jerry St # 205, Castle Rock, CO 80104-1708 | 2018-02-25 |
| 1962928580 | Sheila Porter | Counselor | 2 Oakwood Park Plz Ste 103b, Castle Rock, CO 80104-1885 | 2017-08-15 |
| 1851713226 | Sandra L. Hammond | Counselor | 1189 S Perry St Ste 150, Castle Rock, CO 80104-1974 | 2014-01-20 |
| 1851646137 | Jessika Redman | Counselor | 333 Perry St, Ste 206a, Castle Rock, CO 80104-2434 | 2012-07-23 |
| 1376802165 | Ron George Schwenkler II | Counselor | 4212 Miners Candle Pl, Castle Rock, CO 80109-3567 | 2012-05-14 |
| 1487937082 | Running Stream Counseling Services, PC | Counselor | 308 Wilcox St, Suite 102, Castle Rock, CO 80104-2441 | 2011-09-21 |
| 1366778797 | John Lee West | Counselor | 201 S Wilcox St Ste 102, Castle Rock, CO 80104-1933 | 2009-10-20 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on MR. JESSIE PETERS.
| 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.