KATHRYN M. PETERSON


Address: 2680 Vernon Dr, Green Bay, WI 54304-5374
Phone: 9204964700

KATHRYN M. PETERSON (NPI# 1487852406) 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) 1487852406
Entity Type Individual
Full Name KATHRYN M. PETERSON
Credential LPC
Practice Address 2680 Vernon Dr
Green Bay
WI 54304-5374
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2007-07-11
Last Update Date 2012-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3670-125 WI Behavioral Health & Social Service Providers

Other Providers KATHRYN PETERSON

NPI Name Taxonomy Address Enumeration
1942608914 Kathryn Peterson Registered Nurse 105 Winter St Apt 2, Brattleboro, VT 05301 2014-12-08
1558417071 Kathryn Louise Peterson Massage Therapist 401 Olympia Ave Ne, Suite 213, Renton, WA 98056-4117 2007-01-26
1851493340 Kathryn Schulz Peterson Occupational Therapist 1122 Sw 5th St, Boca Raton, FL 33486-4518 2006-09-04
1003856634 Kathryn Louise Peterson Social Worker 115 E Birch Ave, Flagstaff, AZ 86001-4609 2006-06-08
1821504895 Kathryn Amanda Peterson Occupational Therapy Assistant 2332 Liberty Dr, Coralville, IA 52241-2771 2017-12-28
1659815371 Kathryn Peterson Behavior Technician 2120 Sw Jefferson St, B200, Portland, OR 97201-7727 2016-12-14
1598039422 Kathryn Marie Peterson Behavioral Analyst 2005 Dana Ln, Papillion, NE 68133-2339 2012-02-23
1770626855 Kathryn Patricia Peterson Pediatrics 3333 Burnet Ave, Ml 7009, Cincinnati, OH 45229-3026 2007-02-15
1225128846 Kathryn Anne Peterson Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-10-13

Office Location

Street Address 2680 VERNON DR
City GREEN BAY
State WI
Zip Code 54304-5374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487676508 Jeffery Jon Stumbras Social Worker 2680 Vernon Dr, Green Bay, WI 54304-5374 2006-07-25
1003294729 Joshua Lee Zimmer Social Worker 2680 Vernon Dr, Green Bay, WI 54304-5374 2015-05-14
1528445111 Deborah Ann Goodine Counselor 2680 Vernon Dr, Green Bay, WI 54304-5374 2015-05-03
1689004830 Breyan Donath-skeen Social Worker 2680 Vernon Dr, Green Bay, WI 54304-5374 2013-11-24
1508298100 Kimberly Van Abel Counselor 2680 Vernon Dr, Green Bay, WI 54304-5374 2013-08-06
1164668653 John Schatzman Counselor 2680 Vernon Dr, Green Bay, WI 54304-5374 2009-01-05
1356502561 Jennifer E. Montgomery Fischer Psychiatry & Neurology 2680 Vernon Dr, Green Bay, WI 54304-5374 2008-06-19
1366603896 Judith A. Feld Social Worker 2680 Vernon Dr, Green Bay, WI 54304-5374 2008-06-18
1578761797 Richa Aggarwal Psychiatry & Neurology 2680 Vernon Dr, Green Bay, WI 54304-5374 2007-07-10
1285752089 Robert Vincent Gouthro Jr. Psychiatry & Neurology 2680 Vernon Dr, Green Bay, WI 54304-5374 2007-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689196255 Kristen Ashley Haltom Registered Nurse 2979 Allied St Suite C, Green Bay, WI 54304 2017-07-14
1649671421 Heather Marie Novak Counselor 2979 Allied St Unit C, Green Bay, WI 54304 2014-09-11
1356777684 Nathan Weir Specialist/Technologist 1265 Lombardi Avenue, Green Bay, WI 54304 2013-09-18
1922349927 John W Hartman Internal Medicine 916 Willard Dr, Suite 200, Green Bay, WI 54304 2013-03-15
1447551379 Citralina M Haruo Community Health Worker 1110 11th Avenue, Green Bay, WI 54304 2010-11-09
1497061352 Daniel James Gustin Pharmacist 1109 Lombardi Ave, Green Bay, WI 54304 2010-08-28
1316259898 Karen A Detrick Occupational Therapy Assistant 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 2010-07-13
1861667362 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 2008-04-25
1891967303 Kimberley M Welk Marriage & Family Therapist 926 Willard Dr Ste 136, Green Bay, WI 54304 2008-03-25
1750563698 Richard Lawrence Beyer Hearing Instrument Specialist 2154 S Ridge Rd, Green Bay, WI 54304 2007-12-03
Find all providers in zip 54304

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099329 Spencer Rea Hansen Thomas Counselor 3340 Lineville Rd, Green Bay, WI 54313-7237 2020-09-28
1952914780 Michelle Lee Barth Counselor 208 Longview Ave, Green Bay, WI 54301-1034 2020-08-31
1811412521 Karlye Krien Counselor 1061 W Mason St, Green Bay, WI 54303-1858 2017-08-03
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1205387271 Anne Karjala-dobbins Counselor 1985 E Telemark Cir, Green Bay, WI 54313-4335 2016-10-14
1689026650 Catherine Calo Counselor 529 Greene Ave, Green Bay, WI 54301-2819 2016-07-01
1225498983 Michael Sherman Fentress Counselor 2711 Humboldt Rd Apt 2, Green Bay, WI 54311-8463 2016-02-24
1831566363 Stephanie Birmingham Counselor 1900 Morrow St, #106, Green Bay, WI 54302-3479 2015-09-01
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1700272929 Kerri Schmidt Counselor 916 Willard Drive, Suite #136, Green Bay, WI 54304-6223 2015-04-14
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54304

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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