MATTHEW PETERSON (NPI# 1184053365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184053365 |
| Entity Type | Individual |
| Full Name | MATTHEW PETERSON |
| Credential | LPC-A, LCAS-A |
| Practice Address |
932 Old Us 70 W Black Mountain NC 28711-2547 |
| Mailing Address |
665 W 4th St Winston Salem NC 27101-2701 |
| Practice Telephone | 8286694161 |
| Practice Fax Number | 8286694164 |
| Mailing Telephone | 8286694161 |
| Mailing Fax Number | 8286694164 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15657 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
A10059 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NCSAPPB | 15657 | 01 |
| NC | NCBLPC | 10059A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1689124430 | Matthew Leif Peterson | Counselor | 2512 Hunters Run Dr, Plano, TX 75025-4768 | 2016-10-05 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1508039777 | Matthew S. Peterson | Chiropractor | 103 N. 1st Street, Elma, WA 98541-0656 | 2008-04-09 |
| 1972683340 | Matthew C Peterson | Dentist | 4729 Swift Rd, Sarasota, FL 34231-6433 | 2006-10-17 |
| 1902993629 | Matthew J Peterson | Dentist | 135 Opportunity S Blvd, Cambridge, MN 55008 | 2006-10-06 |
| 1326011891 | Matthew Wade Peterson | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2006-02-07 |
| 1891785606 | Matthew R Peterson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2005-10-24 |
| 1336747369 | Matthew Peterson | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-12 |
| Street Address |
932 OLD US 70 W |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508190026 | Sarah Lynn Eisenhauer | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2009-09-30 |
| 1164812632 | Vernetta Lee Eleazer | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2015-02-04 |
| 1710395330 | Angela Elaine Buchanan | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2014-07-28 |
| 1962833764 | John Caprell | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2013-12-03 |
| 1043564677 | Partnership for A Drug Free Nc, Inc. | Substance Abuse Rehabilitation Facility | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2012-11-05 |
| 1659643260 | Edwin Hawkins | Social Worker | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2012-01-30 |
| 1942580857 | Angela M Haviland | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2011-08-23 |
| 1558683953 | Black Mountain Neuro-medical Treatment Center | Clinic/Center | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers in zip 28711 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407330921 | Karen B Collins | Counselor | 1143 Montreat Rd Ste D, Black Mountain, NC 28711-3231 | 2018-09-20 |
| 1467843763 | James Patrick Casey | Counselor | 816 N Oconeechee Ave, Black Mountain, NC 28711-9584 | 2015-02-09 |
| 1952466658 | George Roger Leroy | Counselor | 130 Center Ave, Black Mountain, NC 28711-3509 | 2006-12-25 |
| 1538779202 | Rachel Smith | Counselor | 932 Old Us Hwy 70 W, Black Mountain, NC 28711-2547 | 2020-08-06 |
| 1053935593 | Luke James Gill | Counselor | 932 Old Us Hwy 70 W, Black Mountain, NC 28711-2547 | 2020-06-01 |
| 1396230827 | Lauren Marie Myers | Counselor | 932 Old Us Hwy 70 W, Black Mountain, NC 28711-2547 | 2018-06-27 |
| 1205355997 | Joy Dawn Molina | Counselor | 1141 Montreat Rd, Black Mountain, NC 28711-3231 | 2017-09-13 |
| 1639692742 | Heather Christie Ridge | Counselor | 201 N Ridgeway Ave, Black Mountain, NC 28711-3506 | 2017-07-20 |
| 1164812632 | Vernetta Lee Eleazer | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2015-02-04 |
| 1710395330 | Angela Elaine Buchanan | Counselor | 932 Old Us 70 W, Black Mountain, NC 28711-2547 | 2014-07-28 |
| Find all providers in BLACK MOUNTAIN | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
Please comment or provide details below to improve the information on MATTHEW PETERSON.
| 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.