CAROL CAMILLE PETERSON (NPI# 1255858510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255858510 |
| Entity Type | Individual |
| Full Name | CAROL CAMILLE PETERSON |
| Practice Address |
505 S 12th Ave W Virginia MN 55792-3099 |
| Practice Telephone | (218) 749-2877 |
| Practice Fax Number | 2187496033 |
| Mailing Telephone | 2187492877 |
| Mailing Fax Number | 2187496033 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300222 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414012 | Carol A Peterson | Health Educator | 2465 Clark Rd, Erie, PA 16510-4411 | 2009-10-05 |
| 1942466677 | Carol Ann Peterson | Social Worker | 6605 W Burnside Rd, #122, Portland, OR 97210-6625 | 2008-08-01 |
| 1538289004 | Carol Peterson | Technician | 4528 N Market St, Saint Louis, MO 63113-2113 | 2007-03-30 |
| 1518098003 | Carol Lynn Peterson | Physical Therapist | 2513 Huntingdon Chase, Atlanta, GA 30350-4964 | 2007-03-08 |
| 1295775377 | Carol M Peterson | Chiropractor | 2228 Turk Rd, Doylestown, PA 18901 | 2006-06-07 |
| 1629056080 | Carol B Peterson | Psychologist | 7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 | 2006-01-05 |
| 1447723077 | Carol L Peterson | Speech-Language Pathologist | 700 Glasgow St, Cambridge, MD 21613-1738 | 2019-01-07 |
| 1467744870 | Carol Jeanne Peterson | Genetic Counselor, MS | 500 Red Creek Dr, Suite 220, Rochester, NY 14623-4284 | 2011-05-04 |
| 1023309804 | Carol Jean Peterson | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2011-04-27 |
| 1225354863 | Carol Peterson | Massage Therapist | 209 N Main St, Andover, MA 01810-3116 | 2010-04-07 |
| Street Address |
505 S 12TH AVE W |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441889 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2006-01-13 |
| 1588227342 | Mark Anthony Coen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2019-04-17 |
| 1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
| 1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1588181952 | Rachel Marie Oivanti | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-27 |
| 1780101188 | Danielle Rae Spolarich | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-25 |
| 1922078724 | Patricia A Corey | Nurse Practitioner | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254936 | Erin Monica Scovell | Counselor | 300 S 5th Ave, Virginia, MN 55792-2665 | 2018-11-16 |
| 1023523230 | Heidi Ann Hansen | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2017-12-11 |
| 1013018480 | Alan A Abraham | Counselor | 626 S 13th St, Detox Range Treatment Center, Virginia, MN 55792 | 2006-09-26 |
| 1619984028 | Arrowhead Center, Inc | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2006-08-01 |
| 1942821640 | Cassandra Jo Adams | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-05-04 |
| 1497389647 | Laura Larsen | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2020-02-26 |
| 1588227342 | Mark Anthony Coen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2019-04-17 |
| 1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
| 1811415870 | Jane Johnsen | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2017-08-30 |
| 1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| Find all providers in VIRGINIA | ||||
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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.