KELLY ANN PETERS (NPI# 1588732408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588732408 |
| Entity Type | Individual |
| Full Name | KELLY ANN PETERS |
| Credential | LCPC |
| Practice Address |
10 E 22nd St Suite 217 Lombard IL 60148-4977 |
| Mailing Address |
10 East 22nd Street Suite 217 Lombard IL 60148 |
| Practice Telephone | 7737634394 |
| Mailing Telephone | 7737634394 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754261 | Kelly A Peters | Speech-Language Pathologist | 1579 E 85th Ave, Merrillville, IN 46410-8901 | 2009-08-06 |
| 1861423303 | Kelly Ann Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387 | 2006-07-05 |
| 1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
| 1417430935 | Kelly Lee Peters | Nurse Practitioner | 4311 Wesley St, Greenville, TX 75401-5639 | 2018-09-11 |
| 1740778117 | Kelly Peters | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-05-01 |
| 1245699370 | Kelly Peters | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2016-02-17 |
| 1982060265 | Kelly Peters | Registered Nurse | 6205 Dominion Dr, Madison, WI 53718-3124 | 2016-01-03 |
| 1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
| 1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
| 1003155987 | Kelly Peters | Occupational Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2013-02-12 |
| Street Address |
10 E 22ND ST SUITE 217 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507331 | Scott Allen Zimmerman | Podiatrist | 10 E 22nd St, Suite 205, Lombard, IL 60148-4977 | 2005-09-01 |
| 1700321262 | Inner Peace Therapies | Counselor | 10 E 22nd St, Suite 217, Lombard, IL 60148-4977 | 2016-12-19 |
| 1609233006 | Lynn M Johnson | Counselor | 10 E 22nd St, Suite 217, Lombard, IL 60148-4977 | 2016-01-15 |
| 1053664276 | Dawn Marie Boettger Mudd | Counselor | 10 E 22nd St, Suite 101, Lombard, IL 60148-4977 | 2012-10-25 |
| 1942500798 | Mahjabeen S Hussain | Optometrist | 10 E 22nd St, Suite 212, Lombard, IL 60148-4977 | 2010-10-27 |
| 1497982813 | Vincent James Traverso | Podiatrist | 10 E 22nd St, Lombard, IL 60148-4977 | 2009-06-11 |
| 1285837096 | Scott A Zimmerman, D.p.m., Ltd. | Podiatrist | 10 E 22nd St, Suite 205, Lombard, IL 60148-6108 | 2007-06-08 |
| 1669594149 | Janet R Mullen | Social Worker | 10 E 22nd St, Suite 217, Lombard, IL 60148-4977 | 2007-04-04 |
| 1346364783 | Sharon Juan Fritz | Social Worker | 10 E 22nd St, Ste 217, Lombard, IL 60148 | 2007-03-19 |
| 1265465116 | James A Dallas | Physical Therapist | 10 E 22nd St, Ste. #305, Lombard, IL 60148-4977 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367751 | Lopresti Counseling Services LLC | Counselor | 2500 S Highland Ave Ste 335, Lombard, IL 60148-7164 | 2020-05-08 |
| 1174169577 | Gillian Gabriella Haygood | Counselor | 212 W Graham Ave, Lombard, IL 60148-3334 | 2019-11-20 |
| 1225590250 | Karen Hild | Counselor | 477 E Butterfield Rd Ste 202, Lombard, IL 60148-4879 | 2019-03-31 |
| 1255890125 | Catherine Nemchausky | Counselor | 477 E. Butterfield, Suite 202, Lombard, IL 60148-6164 | 2019-03-19 |
| 1255890588 | Amanda Muruato | Counselor | 641 E Saint Charles Pl, Lombard, IL 60148-2354 | 2019-03-16 |
| 1558833954 | Dawn Marie Chychula | Counselor | 477 E Butterfield Rd Ste 204, Lombard, IL 60148-4879 | 2018-12-23 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1518400944 | David Michiels | Counselor | 154 E Windsor Ave, Lombard, IL 60148-2333 | 2016-12-03 |
| 1194274019 | Jessica Schwan | Counselor | 21w601 Saint Charles Rd, Lombard, IL 60148-2116 | 2016-10-04 |
| 1881141711 | Heather Anne Drury | Counselor | 100 E Morningside Ave, Lombard, IL 60148-2744 | 2016-09-08 |
| Find all providers in LOMBARD | ||||
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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.