HOLLY PETERSON (NPI# 1164672317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164672317 |
| Entity Type | Individual |
| Full Name | HOLLY PETERSON |
| Practice Address |
1756 S Lewis Rd Camarillo CA 93012-8520 |
| Mailing Address |
723 Seneca St Unit 9 Ventura CA 93001-4424 |
| Practice Telephone | 8053833669 |
| Practice Fax Number | 8059875422 |
| Mailing Telephone | 8053833699 |
| Mailing Fax Number | 8059875422 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REHAB ACTIVITY LEADEER | 174400000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1053620666 | Holly Peterson | Homemaker | 1107 Park Rd, Jackson, MI 49203-5066 | 2010-09-30 |
| 1285278614 | Holly Suzanne Peterson | Physician Assistant | 2001 E Quail Run Rd, Emmett, ID 83617-5059 | 2019-10-29 |
| 1376082495 | Holly Peterson | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-02-22 |
| 1215241112 | Holly Sue Peterson | Social Worker | 9690 S 1300 E, Suite 200, Sandy, UT 84094-3721 | 2010-08-03 |
| 1295968618 | Holly Peterson | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2009-09-02 |
| 1063438141 | Holly Fay Peterson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-14 |
| 1356339303 | Holly Christine Peterson | Internal Medicine | 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 | 2005-10-12 |
| Street Address |
1756 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609925577 | Dianna Oliver | Specialist | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-01-09 |
| 1457978124 | Wendy Pamela Cruz Villatoro | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1639796394 | Carmelo Israel Lopez | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1295352961 | April Del Rosario | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1285251959 | Michelle White | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1063039741 | Juanita Ruiz | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1104443860 | Beverly Donate | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1871118877 | Stefania Hernandez Martinez | Case Manager/Care Coordinator | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-15 |
| 1902377682 | David Alexander Ramos | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2018-12-06 |
| 1871077677 | Lauren Sansone | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239394 | Desiree Butler | Counselor | 975 Flynn Rd # 8704, Camarillo, CA 93012-8704 | 2020-09-14 |
| 1023573284 | Anthony Omar Thompson | Counselor | 954 Gracia St, Camarillo, CA 93010-3940 | 2019-02-01 |
| 1073081741 | Tyler Briann Aliano-kirksey | Counselor | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2018-11-11 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1750860730 | Gina P. Martinez | Counselor | 5284 Adolfo Rd # Sweet100, Camarillo, CA 93012-6787 | 2018-08-09 |
| 1942794326 | Raymundo Cervantes | Counselor | 153 Ripley St, Camarillo, CA 93010-2617 | 2018-06-19 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1326574211 | Sintya Liseth Herrera Rodriguez | Counselor | 5284 Adolfo Rd Ste 200, Camarillo, CA 93012-6788 | 2017-05-11 |
| Find all providers in CAMARILLO | ||||
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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.