WILLIAM C PETTY (NPI# 1477994937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477994937 |
| Entity Type | Individual |
| Full Name | WILLIAM C PETTY |
| Practice Address |
351 W Swanson Ave Suite 4 Wasilla AK 99654-6853 |
| Practice Telephone | 9073765228 |
| Practice Fax Number | 9073768126 |
| Mailing Telephone | 9073765228 |
| Mailing Fax Number | 9073768126 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 493 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088092 | William Petty | Speech-Language Pathologist | 28100 Torch Pkwy Ste 600, Warrenville, IL 60555-4030 | 2020-09-21 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1861558744 | William D. Petty | Dentist | 4233 W 95th St, 2nd Floor, Oak Lawn, IL 60462 | 2006-12-28 |
| 1871687665 | William I Petty II | Internal Medicine | 3901 Main St Ste A, Hilton Head Island, SC 29926-4613 | 2006-10-03 |
| 1841345501 | William Mccandless Petty | Obstetrics & Gynecology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-01-24 |
| 1073565008 | William C Petty | Radiology | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-05-17 |
| 1164406690 | William Jeffrey Petty Jr. | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-29 |
| Street Address |
351 W SWANSON AVE SUITE 4 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922463512 | Brittney Punt | Counselor | 5730 E Pilgrim Ct, St A, Wasilla, AK 99654-1419 | 2015-12-23 |
| 1255767307 | Emily Barry | Counselor | 301 E Danna Ave, Wasilla, AK 99654-6422 | 2013-09-20 |
| 1164790960 | Paul A Kelly Sr. | Counselor | 3071 South Donouvan Street, Wasilla, AK 99654 | 2011-12-07 |
| 1386269439 | Alexandria Camille Palmer | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-15 |
| 1972137529 | Casey Ackerman | Counselor | 1075 S Check St Ste 208, Wasilla, AK 99654-8067 | 2020-02-22 |
| 1023584596 | Talia Green | Counselor | 133 E Swanson Ave, Wasilla, AK 99654-7025 | 2018-10-22 |
| 1023567831 | Dennis Gall | Counselor | 133 E Swanson Ave, Wasilla, AK 99654-7025 | 2016-09-22 |
| 1558783472 | Lee Ann Mitchell | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654 | 2014-01-12 |
| 1902141567 | Celeste Alecia Long | Counselor | 5461 E Mayflower Ln Ste 1, Wasilla, AK 99654-7892 | 2012-12-06 |
| 1396882023 | Thomas A. Lytle | Counselor | 1700 Bogard Rd, Ste 201, Wasilla, AK 99654-6533 | 2007-01-31 |
| Find all providers in WASILLA | ||||
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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.