JACOB PELTIER (NPI# 1578033163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578033163 |
| Entity Type | Individual |
| Full Name | JACOB PELTIER |
| Practice Address |
150 Cora Dr Baton Rouge LA 70815-4201 |
| Practice Telephone | 2253871611 |
| Mailing Telephone | 2253871611 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CIT4015 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 0000000 | 05 |
| Street Address |
150 CORA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093726978 | Stc Addiction Wellness Center, Inc. | Rehabilitation, Substance Use Disorder Unit | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2006-08-10 |
| 1467064667 | Michael Ramos | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-19 |
| 1851902167 | Greg Allen Tiritilli | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1730790049 | Teague Rasmussen | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1275003774 | Joel Salvaggio | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1497225890 | Micha Scholes | Social Worker | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1710457304 | Trevor Flener | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1629548201 | Stephen Zachaary Knippenberg | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1134699747 | Crystal Loup | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-27 |
| 1194295774 | Adam Singer | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1316573157 | Gregory Mitchell | Counselor | 9864 Big Bend Ave, Baton Rouge, LA 70814-4303 | 2020-03-12 |
| 1528614625 | Vital Transitions Behavioral Healthcare Inc. | Counselor | 4021 We Heck Ct Ste L1, Baton Rouge, LA 70816-0416 | 2019-08-14 |
| 1972164481 | Debra A Thomas | Counselor | 1231 Laurel St, Baton Rouge, LA 70802-4645 | 2019-06-25 |
| 1437719432 | Karla Rene Alexander | Counselor | 446 N 12th St, Baton Rouge, LA 70802-4613 | 2019-06-20 |
| 1174088660 | Cory Woodson | Counselor | 13675 Coursey Blvd Apt 231, Baton Rouge, LA 70817-1347 | 2019-02-08 |
| 1831654532 | Whitley Marie Ladner | Counselor | 940 E Tom Stokes Ct, Baton Rouge, LA 70810-3175 | 2019-02-06 |
| 1407326085 | Rosalyn N Davis | Counselor | 216 S. Foster, Baton Rouge, LA 70806 | 2018-11-27 |
| 1629548276 | Darcy Marie Anderson | Counselor | 216 South Foster Dr, Baton Rouge, LA 70806 | 2018-11-27 |
| 1316422280 | Sarah Louise Raines | Counselor | 918 Rossmore Ave, Baton Rouge, LA 70810-4675 | 2018-09-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
Please comment or provide details below to improve the information on JACOB PELTIER.
| 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.