MR. WADE CHRISTIAN PETERSON


Address: 4001 W 15th St, Plano, TX 75093-5841
Phone: 9729851599

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
80077 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4001 W 15TH ST
City PLANO
State TX
Zip Code 75093-5841

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City PLANO
Zip Code 75093

Improve Information

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Dataset Information

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.

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