MRS. KERRI LYNN PEDERSEN


Address: 4000 Gateway Centre Blvd Ste 200, Pinellas Park, FL 33782-6141
Phone: 7275430142

MRS. KERRI LYNN PEDERSEN (NPI# 1164701686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164701686
Entity Type Individual
Full Name MRS. KERRI LYNN PEDERSEN
Credential LMHC
Practice Address 4000 Gateway Centre Blvd Ste 200
Pinellas Park
FL 33782-6141
Mailing Address 13813 Pathfinder Dr
Tampa
FL 33625-6451
Practice Telephone 7275430142
Mailing Telephone 7275430142
Enumeration Date 2011-08-15
Last Update Date 2012-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
MH 10178 FL Behavioral Health & Social Service Providers

Other Providers KERRI PEDERSEN

NPI Name Taxonomy Address Enumeration
1215157276 Kerri Ann Pedersen Developmental Therapist 103 Johnson St, Lynn, MA 01902-4001 2007-05-01

Office Location

Street Address 4000 GATEWAY CENTRE BLVD STE 200
City PINELLAS PARK
State FL
Zip Code 33782-6141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831756709 Komal Schulte Physical Therapist 6774 102nd Avenue North, Pinellas Park, FL 33782 2019-05-24
1023590056 Emergency Physicians of Pinellas Pa Emergency Medicine 3070 Grand Blvd, Pinellas Park, FL 33782 2018-09-06
1083130470 Jessica Walker Counselor 8800 49 Th St. North, Pinellas Park, FL 33782 2017-08-17
1124549225 Raymond Weldon Williams Counselor 8800 49th St. North, Suite 106, Pinellas Park, FL 33782 2017-06-29
1477082832 Yazmin Alyssa Rivera Counselor 8800 49 St N, Pinellas Park, FL 33782 2017-06-08
1134658560 Tesia L Preston Counselor 8800 49th Street N, Suite 106, Pinellas Park, FL 33782 2017-06-08
1548799950 Mannette Joseph Counselor 8800 49th St N Ste.106, Pinellas Park, FL 33782 2017-06-08
1902335318 Jessie Lynn Weiner Counselor 8800 49th St. N Ste 106, Pinellas Park, FL 33782 2017-06-08
1366971772 Socrates Sakolevidis Counselor 8800 49th St N Suite 106, Pinellas Park, FL 33782 2017-06-08
1992182810 Dennis Charles Lane I Counselor 4050 4th St. N #121, St. Petersburg, FL 33782 2015-04-29
Find all providers in zip 33782

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982230801 Robert Evans Foxworthy II Counselor 3491 Gandy Blvd Suite 201, Pinellas Park, FL 33781-2654 2020-03-23
1053844266 Julia Stepelton Counselor 6779 Deer Pond Ln N, Pinellas Park, FL 33781-4808 2017-04-05
1265893259 Amy M. Enkling Counselor 5580 Park Blvd N Ste 6, Suite M, Pinellas Park, FL 33781-3328 2016-03-17
1578999686 Verbenia Wells Counselor 7101 53rd St N, Pinellas Park, FL 33781-4329 2013-09-20
1689009383 Matthew Anthony Fahy Counselor 6701 49th St N, Pinellas Park, FL 33781-5728 2013-09-12
1740538560 Susan Elizabeth Case Counselor 3492 Gandy Blvd N, Suite 201, Pinellas Park, FL 33781 2012-08-28
1821369315 Terry Lee Turner Counselor 4425 Park Blvd N, Pinellas Park, FL 33781-3540 2012-01-16
1477856185 Carly Ann Paro Counselor 8800 49th St Ste 212, Pinellas Park, FL 33782-5339 2010-12-20
1427379908 Dawn Renee Leonard Counselor 8800 49th St. N. Suite 212, Adoption Related Services, Pinellas Park, FL 33782 2010-06-18
1063641645 Susan Kathleen Sisson Counselor 8800 49th St, Pinellas Park, FL 33782-5353 2009-07-05
Find all providers in PINELLAS PARK

Competitor

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City PINELLAS PARK
Zip Code 33782

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Dataset Information

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.

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