CAITLIN PETERSON (NPI# 1528621356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528621356 |
| Entity Type | Individual |
| Full Name | CAITLIN PETERSON |
| Practice Address |
320 S Spruce St Kenai AK 99611-7939 |
| Practice Telephone | 9072837635 |
| Practice Fax Number | 9072839575 |
| Mailing Telephone | 9072837635 |
| Mailing Fax Number | 9072839575 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1396240586 | Caitlin Peterson | Dietitian, Registered | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2018-03-28 |
| 1568977957 | Caitlin Marie Peterson | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2017-12-06 |
| 1376093450 | Caitlin Peterson | Specialist/Technologist | 2646 Patterson Rd Ste A, Grand Junction, CO 81506-1941 | 2016-10-12 |
| 1467881680 | Caitlin Peterson | Social Worker | 155 Chestnut St, Nutley, NJ 07110-2311 | 2013-11-07 |
| 1760742530 | Caitlin Gannon Peterson | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-05-25 |
| Street Address |
320 S SPRUCE ST |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952440570 | Kenai Peninsula Community Care Center | Residential Treatment Facility, Emotionally Disturbed Children | 320 S Spruce St, Kenai, AK 99611-7939 | 2007-02-06 |
| 1972945889 | Kenai Peninsula Community Care So | Residential Treatment Facility, Emotionally Disturbed Children | 320 S Spruce St, Kenai, AK 99611-7939 | 2013-07-19 |
| 1689015794 | Kenai Peninsula Community Care Emergency | Residential Treatment Facility, Emotionally Disturbed Children | 320 S Spruce St, Kenai, AK 99611-7939 | 2013-07-17 |
| 1972775617 | Terrya Elder | Social Worker | 320 S Spruce St, Kenai, AK 99611-7939 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982909966 | Greta Cox | Counselor | 460 Kalifornsky Beach Rd # F1, Kenai, AK 99611-8867 | 2011-01-21 |
| 1689237489 | Kelly Wingster | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-04-17 |
| 1104951300 | Linda May Perry | Counselor | 506 Lake St, Kenai, AK 99611-6937 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345104 | Patricia Jean Pretorius | Counselor | 102 Elderberry Street, Old Harbor, AK 99643 | 2020-10-30 |
| 1265039606 | Joshua Lund | Counselor | 112 Federal Way # 1667, Wrangell, AK 99929-9800 | 2020-10-08 |
| 1013529247 | Faith Marie Peters | Counselor | Solar Circle #2, Tanana, AK 99777 | 2020-08-19 |
| 1790395218 | Julia Rodriguez | Counselor | 1410 Calista Drve, Bethel, AK 99559-0528 | 2020-08-10 |
| 1003426776 | Cynthia Rose Agnes | Counselor | 41 Sis St, Nulato, AK 99765-0056 | 2020-08-06 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1700409471 | Evangeline Tofa Lemaota | Counselor | 4960 Est. 43rd, B3, Anchorage, AK 99508-9950 | 2020-05-28 |
| 1154950350 | Stephen Jay Foreman | Counselor | 1944 E Rezanof Dr, Kodiak, AK 99615-6601 | 2020-04-08 |
| 1316574015 | Hilary Young | Counselor | 11909 Glacier Hwy Apt 305, Juneau, AK 99801-8790 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.