MRS. TARA PETERSON (NPI# 1336438811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336438811 |
| Entity Type | Individual |
| Full Name | MRS. TARA PETERSON |
| Other Name | TARA PETERSON |
| Practice Address |
1470 W Herndon Ave Suite 300 Fresno CA 93711-0552 |
| Mailing Address |
1470 W Herndon Ave Ste 300 Fresno CA 93711-0552 |
| Practice Telephone | 5592562000 |
| Practice Fax Number | 5592214336 |
| Mailing Telephone | 5592562000 |
| Mailing Fax Number | 5592562000 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 95943 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474634 | Tara Mae Peterson | Student in an Organized Health Care Education/Training Program | 9182 E Mogollon Trl, Gold Canyon, AZ 85118-7090 | 2019-08-28 |
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1700376969 | Tara Skelly Peterson | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2018-05-14 |
| 1669971602 | Tara Peterson | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2018-02-05 |
| 1053770867 | Tara Peterson | Marriage & Family Therapist | 1441 Constitution Blvd, Bldg 400 Ste 200, Salinas, CA 93906-3100 | 2016-02-22 |
| 1710353560 | Tara Anne Peterson | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2015-08-17 |
| 1174927867 | Tara Peterson | Behavioral Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2014-10-09 |
| 1659652956 | Tara Jo Peterson | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-31 |
| 1588965933 | Tara Magen Peterson | Developmental Therapist | 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33062 | 2010-11-16 |
| 1235108457 | Tara L. Peterson | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2006-03-17 |
| Street Address |
1470 W HERNDON AVE SUITE 300 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-0552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179276 | California Psychological Institute | Marriage & Family Therapist | 1470 W Herndon Ave, #300, Fresno, CA 93711-0552 | 2006-10-18 |
| 1669017141 | Tina Xiong | Counselor | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2019-11-08 |
| 1487201935 | Aimee Moore | Counselor | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2019-08-20 |
| 1093208019 | Alejandra Isabel Saldivar Miranda | Marriage & Family Therapist | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2018-06-13 |
| 1386170132 | Lisa James | Marriage & Family Therapist | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2017-05-11 |
| 1700338985 | Lyndsey Chavez | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2016-11-04 |
| 1932656022 | Adrian Jones | Counselor | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2016-09-06 |
| 1811360530 | Patti Ann Williams | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2015-11-03 |
| 1952773061 | Anderson Silva | Counselor | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2015-10-28 |
| 1114308889 | Victoria Enriquez | Counselor | 1470 W Herndon Ave, Fresno, CA 93711-0552 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
|---|---|---|---|---|
| 1215540141 | Nina Coffin | Marriage & Family Therapist | 5151 N Palm Ave Ste 720, Fresno, CA 93704-2221 | 2020-08-29 |
| 1205464468 | Anahi Arias Aranda | Marriage & Family Therapist | 3645 W Shaw Ave # 101, Fresno, CA 93711-3206 | 2020-03-31 |
| 1396396800 | Sarah Settle | Marriage & Family Therapist | 1744 E Nees Ave, Fresno, CA 93720-2301 | 2019-09-25 |
| 1285192096 | Antionette Brookins & Associates, Corp | Marriage & Family Therapist | 5275 N 1st St, Fresno, CA 93710-7007 | 2019-03-11 |
| 1285107771 | Timothy Childs | Marriage & Family Therapist | 4928 E Clinton Way #108, Fresno, CA 93727-1526 | 2019-01-07 |
| 1922578574 | Dalise N Smith | Marriage & Family Therapist | 6224 W Belmont Ave, Fresno, CA 93723-9556 | 2018-11-27 |
| 1265908560 | Diana Hernandez-zamarripa | Marriage & Family Therapist | 1350 Van Ness Ave, Fresno, CA 93721-1714 | 2018-10-15 |
| 1093296279 | Emma Shaljyan | Marriage & Family Therapist | 2025 E Dakota Ave Ste 200, Fresno, CA 93726-4804 | 2018-08-24 |
| 1063993756 | Destination.hope Counseling & Enrichment Center | Marriage & Family Therapist | 5756 N Marks Ave Ste 156, Fresno, CA 93711-2171 | 2018-08-22 |
| 1760970412 | Ariel A Floriano | Marriage & Family Therapist | 2002 N Fine Ave Ste 101, Fresno, CA 93727-1511 | 2018-04-27 |
| Find all providers in FRESNO | ||||
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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.