DANIELLE E PETERSON (NPI# 1255875654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255875654 |
| Entity Type | Individual |
| Full Name | DANIELLE E PETERSON |
| Other Name | DANIELLE E LISSNER |
| Credential | CSAC, LPC |
| Practice Address |
429 W Broadway Ave Medford WI 54451-1608 |
| Mailing Address |
850 E Broadway Ave Apt A Medford WI 54451-1586 |
| Practice Telephone | 7157484312 |
| Mailing Telephone | 7159651201 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16281-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17253-130 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
7067-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
3198-226 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15701 County Road K, Box 130, Darlington, WI 535309207 | 6087764940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520477 | Danielle Peterson | Dentist | 222 N Mission St Ste D, Wenatchee, WA 98801-6643 | 2017-07-15 |
| 1558539908 | Danielle Peterson | Technician | 605 Giles Pl, Albert Lea, MN 56007-2322 | 2008-02-19 |
| 1528616356 | Danielle Peterson | Behavior Technician | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2019-08-26 |
| 1225598485 | Danielle Frances Peterson | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2019-03-23 |
| 1710447933 | Danielle Marie Peterson | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-03-22 |
| 1477035491 | Danielle Peterson | Dental Hygienist | 716 Stevens Ave, Portland, ME 04103-2656 | 2018-09-06 |
| 1366950602 | Danielle Peterson | Dentist | 880 Herriot Dr, Mauston, WI 53948-2031 | 2018-01-22 |
| 1609382779 | Danielle Peterson | Behavioral Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2017-12-27 |
| 1003345489 | Danielle Marie Peterson | Speech-Language Pathologist | 675 S Roselle Rd, Schaumburg, IL 60193-3100 | 2017-06-08 |
| 1871029793 | Danielle Peterson | Physical Therapist | 623 Highway 71 W, Ste. 100, Bastrop, TX 78602-4165 | 2017-05-11 |
| Street Address |
429 W BROADWAY AVE |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176661 | Tanya Ann Lybert | Counselor | 429 W Broadway Ave, Medford, WI 54451-1608 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685870 | Tracy L Sunde | Counselor | 512 4th St Sw, Medford, MN 55049-9568 | 2019-05-28 |
| 1245737956 | Larkspur Counseling LLC | Counselor | 328 S Central Ave Ste 212, Medford, OR 97501-7274 | 2018-04-09 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1376099523 | Patricia Mcatee | Counselor | 243 N Holly St, Apt 1, Medford, OR 97501-5603 | 2016-08-28 |
| 1437512449 | Sage Bosch | Counselor | 1003 E Main St # 104, Medford, OR 97504-7448 | 2016-03-29 |
| 1114385853 | April Collins-macauley | Counselor | 234 W 5th St, Medford, OR 97501-2611 | 2016-02-09 |
| 1154714418 | Marykay Powell | Counselor | 4175 Cedar Ln, Medford, OR 97501-9611 | 2015-03-11 |
| 1699163931 | Violeta Iguchi | Counselor | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2015-01-08 |
| 1790109049 | Ellen Lynch | Counselor | 3251 Route 112 Ste 2, Medford, NY 11763-1446 | 2014-02-06 |
| 1922429174 | Roderick Evans | Counselor | 107 E Main St Ste 11, Medford, OR 97501-6022 | 2013-12-13 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on DANIELLE E 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.