MRS. DIANE J. PETERSON (NPI# 1164574018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164574018 |
| Entity Type | Individual |
| Full Name | MRS. DIANE J. PETERSON |
| Credential | LMFT |
| Practice Address |
3325 N University Ave Suite 300 Provo UT 84604-4465 |
| Mailing Address |
241 E 4200 N Provo UT 84604-5010 |
| Practice Telephone | 8012263008 |
| Mailing Telephone | 8012263424 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
97-323498-3902 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538670278 | Diane Peterson | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-20 |
| 1477961233 | Diane Peterson | Nurse Practitioner | 800 Washington St # 465, Boston, MA 02111-1552 | 2014-07-24 |
| 1518254770 | Diane Peterson | Interpreter | 9352 Ewers Dr, Saint Louis, MO 63126-2616 | 2011-07-07 |
| 1144471210 | Diane Kathryn Peterson | Nurse Practitioner | 23970 Jacaranda Dr, Tehachapi, CA 93561-8320 | 2008-10-07 |
| 1508932062 | Diane M Peterson | Chiropractor | 1205 Hauck Dr, Rolla, MO 65401-4900 | 2006-11-28 |
| 1063068070 | Diane Peterson | Registered Nurse | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2019-08-15 |
| 1659629459 | Diane Leslie Peterson | Massage Therapist | 1530 Bellevue Way Se, Ste C, Bellevue, WA 98004-7110 | 2012-08-27 |
| 1326282534 | Diane Peterson | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2009-05-01 |
| 1972778405 | Diane K Peterson | Physical Therapist | 208 Main St, Wayne, NE 68787-1941 | 2008-04-25 |
| 1184834343 | Diane Peterson | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-23 |
| Street Address |
3325 N UNIVERSITY AVE SUITE 300 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245290295 | Ronald C Jones | Pediatrics | 3325 N University Ave, Ste 100, Provo, UT 84604-4465 | 2006-03-24 |
| 1407209760 | Inside Wellness Mental Health LLC | Community/Behavioral Health | 3325 N University Ave, Suite 275, Provo, UT 84604-4465 | 2016-07-21 |
| 1245685122 | Guided Eating, LLC | Clinic/Center | 3325 N University Ave, Suite 275, Provo, UT 84604-4465 | 2016-04-28 |
| 1447669775 | Camille Curtis Foster | Counselor | 3325 N University Ave, Suite #275, Provo, UT 84604-4465 | 2014-08-12 |
| 1073858445 | Jeffrey W Robinson | Counselor | 3325 N University Ave, Suite 315, Provo, UT 84604-4465 | 2012-12-11 |
| 1710258470 | Nicole Leigh Zenger | Psychologist | 3325 N University Ave, Suite 350, Provo, UT 84604-4465 | 2012-01-25 |
| 1497054506 | Utah Psychological Associates, LLC | Counselor | 3325 N University Ave, Suite 300, Provo, UT 84604-4465 | 2011-03-16 |
| 1770730939 | Michael G. Higbee | Social Worker | 3325 N University Ave, Provo, UT 84604-4465 | 2008-08-19 |
| 1760638068 | William Christopher Tolen | Psychologist | 3325 N University Ave, Suite 300c, Provo, UT 84604-4465 | 2008-08-18 |
| 1780845453 | Drew B Hirsch | Social Worker | 3325 N University Ave, Suite 300 D, Provo, UT 84604-4465 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245792167 | Adrienne Lowden Dejager | Counselor | 314 S 1350 E, Provo, UT 84606-5318 | 2019-04-01 |
| 1699255315 | Michele Mcconkie Erekson | Counselor | 2545 N Canyon Rd Ste 112, Provo, UT 84604-5972 | 2018-08-21 |
| 1861980385 | Cory Bushman | Counselor | 455 N University Ave Ste 210, Provo, UT 84601-2868 | 2018-04-30 |
| 1013425594 | Tamara S Hill | Counselor | 3325 N University Ave Ste 275, Provo, UT 84604-7415 | 2018-01-18 |
| 1992150478 | Tristin Roney | Counselor | 1942 N 3100 W, Provo, UT 84601-5941 | 2016-05-03 |
| 1659760411 | Affinity Guidance Services, Inc | Counselor | 1971 N State St, Provo, UT 84604-1012 | 2015-01-16 |
| 1326460445 | Daniel Solen | Counselor | 2230 N University Pkwy Ste 11d, Provo, UT 84604-1583 | 2014-01-08 |
| 1235550526 | Richard James Bryan | Counselor | 567 N 2620 W, Provo, UT 84601-1187 | 2014-01-03 |
| 1508287947 | Ann Weight | Counselor | 4455 Wimbledon Dr, Provo, UT 84604-5394 | 2014-01-03 |
| 1508118456 | Linda Marie Taylor | Counselor | 719 N 1890 W Ste 38b, Provo, UT 84601-1333 | 2012-10-02 |
| Find all providers in PROVO | ||||
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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.