CAMILLE PETERSEN (NPI# 1295937118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295937118 |
| Entity Type | Individual |
| Full Name | CAMILLE PETERSEN |
| Credential | MS |
| Practice Address |
7459 Burlington Pike Florence KY 41042-1553 |
| Practice Telephone | 8595256808 |
| Mailing Telephone | 8595256808 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 07-011 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE GROUP NUMBER | 184607 | 01 |
| Street Address |
7459 BURLINGTON PIKE |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033174222 | Brian Deloyd Jones | Psychiatry & Neurology | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-04-19 |
| 1013527837 | Dixie Lee Zimmerman | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-08-06 |
| 1629686043 | Althea Granger | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-07-22 |
| 1659920692 | Mandee Mckelvey | Art Therapist | 7459 Burlington Pike, Florence, KY 41042-1553 | 2019-09-11 |
| 1952956070 | Genoa Healthcare, LLC | Pharmacy | 7459 Burlington Pike, Building 2, Room 114, Florence, KY 41042-1553 | 2019-08-06 |
| 1194296269 | Leah Anne King | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-12-16 |
| 1629557087 | Sarah Vanover | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-08-07 |
| 1154809572 | Kylie Meyer | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-07-30 |
| 1427540897 | Samantha Fox | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-06-01 |
| 1851898084 | Taylor Dantes | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881241388 | Kathleen Lynne Mccoy | Marriage & Family Therapist | 6450 W Willow Way, Florence, AZ 85132-6400 | 2019-08-20 |
| 1497066823 | Phyl K Robinson | Marriage & Family Therapist | 11436 E Lupine Ln, Florence, AZ 85132-7649 | 2010-06-30 |
| 1629253687 | Karen R Mallatratt | Marriage & Family Therapist | 423 W 3rd St, Florence, NJ 08518-1812 | 2008-01-08 |
| 1427195700 | James E Pittenger | Marriage & Family Therapist | 1495 W. 8th Street, Florence, OR 97439-0000 | 2007-01-30 |
| 1326575051 | Northampton Sex Therapy Associates, LLC | Marriage & Family Therapist | 40 Main St, Suite 103, Florence, MA 01062-1492 | 2017-05-12 |
| 1780076463 | Brooke Norton | Marriage & Family Therapist | 40 Main St, Suite 103, Florence, MA 01062 | 2015-03-04 |
| 1407251929 | Rebecca Linton Stone | Marriage & Family Therapist | 218 W Alabama St, Florence, AL 35630-5516 | 2014-10-27 |
| 1295002319 | Northampton Sex Therapy Associates | Marriage & Family Therapist | 40 Main St, Florence, MA 01062-1492 | 2011-11-17 |
| 1750590444 | Maureen A Carney | Marriage & Family Therapist | 100 Chestnut St, Florence, MA 01062-1407 | 2007-05-21 |
| 1134258833 | Thomas C Noyes | Marriage & Family Therapist | 7315 Dixie Hwy, Florence, KY 41042-2126 | 2007-03-06 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on CAMILLE PETERSEN.
| 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.