SANDRA MARY BEDNARZ PETERSEN (NPI# 1285171801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171801 |
| Entity Type | Individual |
| Full Name | SANDRA MARY BEDNARZ PETERSEN |
| Other Name | SANDRA MARY BEDNARZ |
| Credential | LCPC |
| Practice Address |
1900 Ogden Ave Aurora IL 60504-4273 |
| Mailing Address |
115 Queenswood Rd Bolingbrook IL 60440-2517 |
| Practice Telephone | 6302568007 |
| Mailing Telephone | 6305322793 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178012647 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18100 W Oak Ave, Lockport, IL 604416125 | 8157740327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215162995 | Sandra Lee Petersen | Speech-Language Pathologist | 805 W Stonemill Ave, Addison, IL 60101-2210 | 2009-05-24 |
| 1821070368 | Sandra E Petersen | Marriage & Family Therapist | 43613 Florida Ave, Suite K, Hemet, CA 92544-7202 | 2005-11-18 |
| 1568916260 | Sandra Petersen | Marriage & Family Therapist | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-08-10 |
| 1407074024 | Sandra M. Petersen | Pharmacist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2007-04-20 |
| 1548396849 | Sandra Petersen | Nurse Practitioner | 6800 West Loop S, Suite 180, Bellaire, TX 77401-4528 | 2007-02-23 |
| 1295795672 | Sandra Rose Petersen | Obstetrics & Gynecology | 4060 4th Ave, Suite 610, San Diego, CA 92103-2116 | 2006-03-28 |
| Street Address |
1900 OGDEN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60504-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008143 | Mohammad A Khan | Anesthesiology | 1900 Ogden Ave, Suite 102, Aurora, IL 60504-4273 | 2005-07-29 |
| 1275032336 | Karen Hammond | Social Worker | 1900 Ogden Ave, Aurora, IL 60504-4273 | 2018-02-05 |
| 1740739465 | Aimee Pepple | Physical Therapist | 1900 Ogden Ave, Aurora, IL 60504-4273 | 2016-09-22 |
| 1851746994 | Danielle Marie Debulgado | Physical Therapy Assistant | 1900 Ogden Ave, Suite 203, Aurora, IL 60504-4273 | 2016-04-26 |
| 1538552047 | Lindsay Baron Prombaum | Counselor | 1900 Ogden Ave, Suite 106, Aurora, IL 60504-4273 | 2015-03-07 |
| 1710380746 | Brett Fahnstrom | Physical Therapist | 1900 Ogden Ave, Ste. 203, Aurora, IL 60504-4273 | 2014-10-05 |
| 1184055642 | Jordan Marks | Physical Therapist | 1900 Ogden Ave, Suite 203, Aurora, IL 60504-4273 | 2013-12-10 |
| 1811327034 | Laura Elizabeth Chesslo Langes | Psychologist | 1900 Ogden Ave, Suite 106, Aurora, IL 60504-4273 | 2013-11-25 |
| 1538405931 | Stephen M Solum | Physician Assistant | 1900 Ogden Ave, Suite 210, Aurora, IL 60504-4273 | 2012-12-13 |
| 1255620654 | Js Player Md Sc | Orthopaedic Surgery | 1900 Ogden Ave, Ste 102, Aurora, IL 60504-4273 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399129 | Chelsey Kristin Rickert | Counselor | 2090 S Hannibal Way Apt B, Aurora, CO 80013-4024 | 2020-09-02 |
| 1891304424 | Accountability In Rehabilitative and Restorative Treatment LLC | Counselor | 2851 S Parker Rd Ste 430, Aurora, CO 80014-2802 | 2020-07-29 |
| 1114536950 | Behavioral Health Partners, Inc. | Counselor | 10730 E Bethany Dr Ste 120, Aurora, CO 80014-2694 | 2020-07-28 |
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1316560139 | Jena Anderson | Counselor | 6086 S Biscay St, Aurora, CO 80016-3843 | 2020-05-27 |
| 1437772704 | Christy Joy Malone | Counselor | 2993 S Peoria St Ste 128, Aurora, CO 80014-5704 | 2020-05-21 |
| 1114540432 | Imani Marie Lipscomb | Counselor | 14082 E Iowa Dr, Aurora, CO 80012-5501 | 2020-05-20 |
| 1770104895 | Garland Bell-quinton | Counselor | 12510 E Iliff Ave Ste 110, Aurora, CO 80014-6377 | 2020-04-29 |
| 1649809500 | Sheila Nicole Hughes | Counselor | 498 S Memphis Way Apt A, Aurora, CO 80017-3649 | 2020-04-03 |
| 1053949107 | Alannah Rice | Counselor | 173 N Biloxi Way, Aurora, CO 80018-1544 | 2020-04-01 |
| Find all providers in AURORA | ||||
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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.