DR. BRENT C PETERSON (NPI# 1497934400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497934400 |
| Entity Type | Individual |
| Full Name | DR. BRENT C PETERSON |
| Credential | PH.D, LPC, ATR, NCC |
| Practice Address |
1657 Merrimac Trl Williamsburg VA 23185-5624 |
| Practice Telephone | 7572534047 |
| Practice Fax Number | 7572534377 |
| Mailing Telephone | 7572534047 |
| Mailing Fax Number | 7572534377 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2010-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004570 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080894 | Brent P Peterson | Neurological Surgery | 3336 N. Futrall Drive, Fayetteville, AR 72703 | 2006-07-07 |
| 1356535694 | Brent E. Peterson | Chiropractor | 1415 N 400 E, Suite C, Logan, UT 84341-7539 | 2007-08-29 |
| 1124161385 | Brent Allen Peterson | Hearing Instrument Specialist | 153 W 151st St, 140, Olathe, KS 66061-5348 | 2007-02-15 |
| 1134141575 | Brent Lee Peterson | Chiropractor | 115 N Collegiate Dr, Paris, TX 75460-4842 | 2006-07-24 |
| Street Address |
1657 MERRIMAC TRL |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245214253 | Mahmood Aminur Rahman | Psychiatry & Neurology | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2005-12-02 |
| 1497305718 | Julianne Davison | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2019-09-18 |
| 1982168779 | Theresa Pritchard | Social Worker | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2019-01-25 |
| 1275028359 | Artesia Mcnair | Social Worker | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2018-06-29 |
| 1881115327 | Kelly Brazas Nance | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2017-07-06 |
| 1710426242 | Jessica Peay | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2017-02-16 |
| 1548704430 | Christina Beckett | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-12-12 |
| 1083165716 | Lynn Lynes | Social Worker | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-10-18 |
| 1689123911 | Stacy Kline Bolling | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-09-28 |
| 1790239200 | Casandra Jones | Counselor | 1657 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353142 | Glenn Paul Clavet | Counselor | 4044 Penzance Pl, Williamsburg, VA 23188-6641 | 2020-07-08 |
| 1942831300 | Stephanie Jo Ellison | Counselor | 5000 New Point Rd, Williamsburg, VA 23188-9411 | 2020-02-03 |
| 1215580675 | Sarah Patricia Cloud | Counselor | 76 Wilson Rd, Williamsburg, KY 40769-9308 | 2019-07-24 |
| 1023572674 | Blair Elder Farrar | Counselor | 372 Mclaws Cir Ste 2, Williamsburg, VA 23185-5636 | 2019-01-29 |
| 1851855688 | Rachel Cunningham | Counselor | 1657 Merrimac Trl Bldg 1, Williamsburg, VA 23185-5624 | 2019-01-25 |
| 1720554090 | Sarah Elizabeth Clayton | Counselor | 5388 Discovery Park Blvd Ste 120b, Williamsburg, VA 23188-8218 | 2018-10-15 |
| 1669919833 | Ian Demodna | Counselor | 1001 Richmond Rd, Williamsburg, VA 23185-2895 | 2017-01-26 |
| 1275081598 | Joelle Janice Griffin Russell | Counselor | 1651 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-09-15 |
| 1326407610 | Karen Lynn Mapp Hall | Counselor | 907 Richmond Rd, Williamsburg, VA 23185-2821 | 2016-02-16 |
| 1992192702 | Donna Haygood Jackson | Counselor | 209 Yorkshire Dr, Williamsburg, VA 23185-3912 | 2015-04-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on DR. BRENT C PETERSON.
| 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.