MR. WADE CHRISTIAN PETERSON (NPI# 1447897806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447897806 |
Entity Type | Individual |
Full Name | MR. WADE CHRISTIAN PETERSON |
Credential | MA, LPC INTERN |
Practice Address |
4001 W 15th St Plano TX 75093-5841 |
Mailing Address |
8201 Southwestern Blvd Apt 2002 Dallas TX 75206-9313 |
Practice Telephone | 9729851599 |
Enumeration Date | 2019-12-04 |
Last Update Date | 2019-12-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
80077 | TX | Behavioral Health & Social Service Providers |
Street Address |
4001 W 15TH ST |
City | PLANO |
State | TX |
Zip Code | 75093-5841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871596957 | Richard G Buch | Specialist | 4001 W 15th St, Suite 290, Plano, TX 75093-5841 | 2005-05-23 |
1003330077 | Shara Hilary Cummings | Physical Therapist | 4001 W 15th St, Plano, TX 75093-5841 | 2017-08-01 |
1134663479 | Susan Mussachio | Nurse Practitioner | 4001 W 15th St, Ste 245, Plano, TX 75093-5841 | 2016-12-06 |
1538519087 | Carla Leslie | Counselor | 4001 W 15th St, Suite 465, Plano, TX 75093-5841 | 2016-06-15 |
1245680883 | Angelique White Ferraris | Physician Assistant | 4001 W 15th St, Suite 445, Plano, TX 75093-5841 | 2016-06-14 |
1063881076 | Deanah A Jibril, Do, Pa | Obstetrics & Gynecology | 4001 W 15th St, Suite 375, Plano, TX 75093-5841 | 2015-09-21 |
1295110740 | Christina E Newman | Physical Therapist | 4001 W 15th St, Suite 490, Plano, TX 75093-5841 | 2015-07-27 |
1821471004 | Shayan Moslemi | Physical Therapist | 4001 W 15th St, Ste 490 Bldg 1, Plano, TX 75093-5841 | 2015-07-07 |
1740677012 | Anam Shahbaz | Physician Assistant | 4001 W 15th St, Ste. 200, Plano, TX 75093-5841 | 2015-04-23 |
1851789804 | Andrew Justice Ladd | Physician Assistant | 4001 W 15th St, #200, Plano, TX 75093-5841 | 2014-12-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710594718 | Clutch Counseling | Counselor | 2001 E Spring Creek Pkwy Apt 9101, Plano, TX 75074-3240 | 2020-09-24 |
1336750694 | Madiha Ashraf | Counselor | 5016 Randolph St, Plano, TX 75074-0308 | 2020-08-11 |
1699397430 | Anne Wallace | Counselor | 6220 Chase Oaks Blvd Ste 104, Plano, TX 75023-4641 | 2020-05-14 |
1609401702 | Cyndi Ryan | Counselor | 5851 Legacy Cir Ste 600-43, Plano, TX 75024-5966 | 2020-03-09 |
1235761941 | Kylie Henry | Counselor | 2115 Teakwood Ln Ste 100, Plano, TX 75075-4407 | 2020-02-11 |
1962033084 | Nirav Shah | Counselor | 5725 Northbrook Dr, Plano, TX 75093-5954 | 2020-01-28 |
1205395845 | Blanca Kleinfall | Counselor | 1500 Preston Rd Apt 2107, Plano, TX 75093-5131 | 2019-03-13 |
1811454796 | Lisa Boyd Brashear | Counselor | 400 Chisholm Pl Ste 105, Plano, TX 75075-6908 | 2019-02-27 |
1366915050 | Deborah Lintz Hill | Counselor | 8105 Rasor Blvd Ste 303, Plano, TX 75024-0267 | 2019-01-06 |
1487127460 | Tye J Kemp | Counselor | 801 E Plano Pkwy Ste 150, Plano, TX 75074-6797 | 2019-01-02 |
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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.