MRS. JANET LEE PETTY (NPI# 1528361037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528361037 |
| Entity Type | Individual |
| Full Name | MRS. JANET LEE PETTY |
| Credential | MA, LPC, CCDP-D |
| Practice Address |
203 N Grand St Salem MO 65560-1344 |
| Mailing Address |
203 N Grand St P.o. Box 429 Salem MO 65560-1344 |
| Practice Telephone | 5737294103 |
| Practice Fax Number | 5737294420 |
| Mailing Telephone | 5737294103 |
| Mailing Fax Number | 5737294420 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3770 | MO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008037617 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DIVISON OF PROFESSIONAL REGISTRATION, COMMITTEE FOR PROFESSIONAL | 2008037617 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465364 | Janet Lim Petty | Pharmacist | 1630 Robb Dr, Reno, NV 89523-3516 | 2018-08-04 |
| 1023453263 | Janet E Petty | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2013-05-01 |
| Street Address |
203 N GRAND ST |
| City | SALEM |
| State | MO |
| Zip Code | 65560-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033234166 | James A Gunn | Counselor | 203 N Grand St, Salem, MO 65560-1344 | 2007-03-20 |
| 1346884210 | Casey Hardy | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2019-11-04 |
| 1396386496 | Wayneth Mccomas | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2019-10-01 |
| 1083262893 | Stacey Dotson | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2019-08-27 |
| 1255994513 | Lauren Elizabeth Thompson | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2019-04-22 |
| 1760996979 | Emily A West | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2017-11-27 |
| 1386198836 | Lisa Dewitt | Registered Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2016-08-12 |
| 1326497348 | Katrina Lewis | Licensed Practical Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2016-06-09 |
| 1326412925 | Dawn Stewart | Licensed Practical Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2015-11-19 |
| 1861872889 | Lisa Martin | Licensed Practical Nurse | 203 N Grand St, Salem, MO 65560-1344 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| 1003426800 | Bethany Grace Lee | Counselor | 508 E Main St Ste 500, Salem, VA 24153-4325 | 2020-08-06 |
| 1225655848 | Shannon Roosma | Counselor | 2212 Mulberry St, Salem, VA 24153-6013 | 2020-06-30 |
| 1013489707 | Stephen Todd Rohrbeck | Counselor | 4060 Macleay Rd Se Ste A, Salem, OR 97317-5801 | 2018-12-19 |
| 1346718467 | Claire Jones | Counselor | 355 High St Se Ste 2, Salem, OR 97301-3613 | 2018-11-06 |
| 1851873319 | James Joseph Briggs | Counselor | 930 25th St Se, Salem, OR 97301-5045 | 2018-08-31 |
| 1487146403 | Lugenia Small | Counselor | 4 Eakin St Ste 4a, Salem, NJ 08079-1704 | 2018-06-05 |
| 1588165807 | Cassie Fort | Counselor | 4532 Poinsettia St Ne, Salem, OR 97305-9500 | 2018-02-22 |
| 1336688654 | Carilee Ball | Counselor | 838 County Road 3233, Salem, MO 65560-0473 | 2017-02-20 |
| 1174972640 | Nina Marie Perard | Counselor | 2095 Robins Ln Se, Apt 232, Salem, OR 97306-2766 | 2016-06-06 |
| Find all providers in SALEM | ||||
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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.