KIMBERLY PETERSON


Address: 1160 N Dutton Ave, Suite 105, Santa Rosa, CA 95401-4600
Phone: 7075452700

KIMBERLY PETERSON (NPI# 1225396583) 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) 1225396583
Entity Type Individual
Full Name KIMBERLY PETERSON
Credential MA, MFTI
Practice Address 1160 N Dutton Ave
Suite 105
Santa Rosa
CA 95401-4600
Mailing Address 1160 N Dutton Ave
Suit 105
Santa Rosa
CA 95401-4600
Practice Telephone 7075452700
Mailing Telephone 7073269277
Enumeration Date 2012-04-24
Last Update Date 2013-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 65068 CA Behavioral Health & Social Service Providers

Other Providers KIMBERLY PETERSON

NPI Name Taxonomy Address Enumeration
1962003624 Kimberly Ann Peterson Registered Nurse 1108 Independence Ct, Atchison, KS 66002-9554 2020-11-07
1144799537 Kimberly Laverna Peterson Home Health Aide 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 2018-11-15
1134642572 Kimberly Peterson Counselor 2592 W Santa Clara Dr, Meridian, ID 83642-4363 2017-07-18
1720402100 Kimberly Peterson Registered Nurse 11300 Columbiana Canfield Rd, Suite E, Canfield, OH 44406-8485 2014-02-06
1285898825 Kimberly Anne Peterson Speech-Language Pathologist 205 N 85th St, Wauwatosa, WI 53226-4603 2008-07-14
1467955724 Kimberly Rose Peterson Counselor 160 Howells Rd, Bay Shore, NY 11706-5320 2018-03-13
1013425602 Kimberly Lauren Peterson Student in an Organized Health Care Education/Training Program 210 Avenue C, Danville, IL 61832-5410 2018-01-17
1104336668 Kimberly A Peterson Occupational Therapist 1587 Myrtle Ave, Eureka, CA 95501-1453 2017-10-10
1538678263 Kimberly Paige Peterson Speech-Language Pathologist 78 Hospital Rd, Macon, MS 39341-2490 2017-09-26
1265952626 Kimberly Peterson Registered Nurse 300 S Bruce St, Marshall, MN 56258-1934 2017-06-26

Office Location

Street Address 1160 N DUTTON AVE
SUITE 105
City SANTA ROSA
State CA
Zip Code 95401-4600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699775411 Psych Strategies Inc A Psychological Corp Psychologist 1160 N Dutton Ave, Suite 230, Santa Rosa, CA 95401-4600 2005-07-22
1487189395 Ritu Janice Esbjorn Marriage & Family Therapist 1160 N Dutton Ave, 230, Santa Rosa, CA 95401-4600 2017-04-28
1477908028 Robert Dudley Marriage & Family Therapist 1160 N Dutton Ave, Suite 230, Santa Rosa, CA 95401-4600 2016-05-02
1376962340 Samantha Ryan Counselor 1160 N Dutton Ave, Suite 105, Santa Rosa, CA 95401-4600 2014-04-07
1487085999 Kali White Technician, Health Information 1160 N Dutton Ave, Suite 105, Santa Rosa, CA 95401-4600 2013-12-09
1134553027 Philippa Lockwood Technician, Health Information 1160 N Dutton Ave, Suite 105, Santa Rosa, CA 95401-4600 2013-08-27
1972945996 Kerryann Caldwell-collins Marriage & Family Therapist 1160 N Dutton Ave, Santa Rosa, CA 95401-4600 2013-07-18
1972844132 Jennifer Salcedo Counselor 1160 N Dutton Ave, Santa Rosa, CA 95401-4600 2013-03-12
1003156720 Crystal Carpenter Technician, Health Information 1160 N Dutton Ave, Suite 105, Santa Rosa, CA 95401-4600 2013-02-15
1659617025 Franklin Lee Counselor 1160 N Dutton Ave, Santa Rosa, CA 95401-4600 2012-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
Find all providers in zip 95401

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386269918 Debra Gold Marriage & Family Therapist 835 Piner Rd, Santa Rosa, CA 95403-2063 2020-06-09
1619590700 Cameron Craig Lutchansky Marriage & Family Therapist 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 2020-05-22
1689294498 Pamela Jo Peringer Marriage & Family Therapist 2345 Morningside Cir, Santa Rosa, CA 95405-9132 2020-04-22
1467004028 Megan Barajas Marriage & Family Therapist 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 2019-07-14
1275193674 Marie Romano Marriage & Family Therapist 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 2019-06-18
1851956932 Amy Theodore Marriage & Family Therapist 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 2019-05-05
1609335314 Heidi Diebel Marriage & Family Therapist 9291 Oak Trail Cir, Santa Rosa, CA 95409 2019-03-13
1114413952 Jordan Morrison Marriage & Family Therapist 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 2018-07-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1174012710 Humanidad Therapy and Education Services Marriage & Family Therapist 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 2018-05-09
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95401

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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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