LISA LYNN PETERSON (NPI# 1518204734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518204734 |
| Entity Type | Individual |
| Full Name | LISA LYNN PETERSON |
| Credential | M.A., LPC |
| Practice Address |
405 Goldridge Dr Georgetown TX 78633-1989 |
| Practice Telephone | 5126350270 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
66898 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952592 | Lisa Peterson | Physical Therapy Assistant | 893 94th St, Pleasant Prairie, WI 53158-4911 | 2017-06-27 |
| 1497154033 | Lisa Peterson | Speech-Language Pathologist | 407 N Foster St, Center, MO 63436-1026 | 2014-08-20 |
| 1528467503 | Lisa Peterson | Marriage & Family Therapist | 3240 W Foster Ave, Suite A, Chicago, IL 60625-4828 | 2014-08-15 |
| 1790056554 | Lisa Peterson | Nurse Practitioner | 12629 Se 54th St, Bellevue, WA 98006-2916 | 2012-01-25 |
| 1265697676 | Lisa Ann Peterson | Social Worker | 8366 Mary Lee Ln, Laurel, MD 20723-1192 | 2008-07-24 |
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1962514869 | Lisa A Peterson | Counselor | 110 Elmwood Ave, Providence, RI 02907-2423 | 2006-08-31 |
| 1336131986 | Lisa M Peterson | Internal Medicine | 180 W Grange Ave, Milwaukee, WI 53207-6030 | 2005-08-19 |
| 1154983682 | Lisa Marie Peterson | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2019-07-04 |
| 1013480631 | Lisa Jane Peterson | Speech-Language Pathologist | 3430 Burnet Ave # 4011, Cincinnati, OH 45229-2833 | 2019-01-07 |
| Street Address |
405 GOLDRIDGE DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1740888742 | Bryan Hutchison | Counselor | 141 Mountain Valley St, Georgetown, TX 78628-2199 | 2020-10-12 |
| 1780294223 | Pathways To Success, Inc. | Counselor | 31 The Cir Ste A&b, Georgetown, DE 19947-1506 | 2020-08-07 |
| 1043829575 | Jodi Marie Gregory | Counselor | 505 W University Ave Ste E, Georgetown, TX 78626-6659 | 2020-07-30 |
| 1932726544 | Nicholas Bernard Rogell | Counselor | 2307 Rivet Path, Georgetown, KY 40324-8110 | 2020-06-30 |
| 1629559570 | Sarah Ann Gideon | Counselor | 406 West St, Georgetown, TX 78626-4945 | 2018-08-28 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1932644382 | Caroline Ryan Counseling | Counselor | 84 Warren St, Georgetown, MA 01833-1234 | 2016-12-21 |
| 1285086314 | John Hayes | Counselor | 410 S Bedford St, Georgetown, DE 19947-1850 | 2016-07-13 |
| 1558747485 | Seth Miller | Counselor | 4118 Williams Dr, Georgetown, TX 78628-1335 | 2015-08-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on LISA LYNN 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.