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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3670-125 | WI | Behavioral Health & Social Service Providers |
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 |
Street Address |
2680 VERNON DR |
City | GREEN BAY |
State | WI |
Zip Code | 54304-5374 |
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 |
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 Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
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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.