JACQUELINE PETERSON


Address: 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104-1087
Phone: 2708463222

JACQUELINE PETERSON (NPI# 1609079847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609079847
Entity Type Individual
Full Name JACQUELINE PETERSON
Credential M.A.E.
Practice Address 1830 Destiny Ln
Suite 107
Bowling Green
KY 42104-1087
Practice Telephone 2708463222
Practice Fax Number 2708463228
Mailing Telephone 2708463222
Mailing Fax Number 2708463228
Enumeration Date 2007-06-06
Last Update Date 2014-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 05-0006 KY Behavioral Health & Social Service Providers

Other Providers JACQUELINE PETERSON

NPI Name Taxonomy Address Enumeration
1942413455 Jacqueline Cochrane Peterson Physical Therapist 17 Cheese Factory Rd, Honeoye Falls, NY 14472-9318 2007-05-08
1538606694 Jacqueline Peterson Chiropractor 404 Wisconsin Ave, Amery, WI 54001-1071 2017-01-27
1972960110 Jacqueline M Peterson Nurse Practitioner 15 Old Rollinsford Rd Ste 102, Dover, NH 03820-2869 2016-01-19
1518339399 Jacqueline Alyse Peterson Social Worker 1419 Main St, Torrington, WY 82240-3340 2015-10-20
1992967459 Jacqueline Nicole Peterson Counselor 6160 Mission Gorge Rd, 200, San Diego, CA 92120-3410 2008-06-26

Office Location

Street Address 1830 DESTINY LN
SUITE 107
City BOWLING GREEN
State KY
Zip Code 42104-1087

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720081417 Richard Young Podiatrist 1830 Destiny Ln, Suite 110, Bowling Green, KY 42104 2005-05-27
1063965242 Life Abundant Center Social Worker 1830 Destiny Ln, Suite105, Bowling Green, KY 42104-1087 2016-07-25
1992195325 Amanda Portman Social Worker 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 2015-01-22
1013344084 Restoration Counseling Community/Behavioral Health 1830 Destiny Ln, Bowling Green, KY 42104-1087 2013-10-04
1538505615 Matthew Nicholson Damin Dentist 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104-1087 2013-05-16
1497030928 Destiny Adult, Child & Family Services LLC Community/Behavioral Health 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 2011-10-16
1043503022 Carolyn Kates-glass Social Worker 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 2011-05-24
1023257607 Lisa Rae Rice Counselor 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104-1087 2009-02-05
1154569614 Lucille Lee Mcmichael Social Worker 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 2009-01-21
1023229374 Kelli Alexander Barbee Dentist 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104-1087 2007-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295208577 Jennifer Kehrle Marriage & Family Therapist 119 S 12th St Apt E, Bowling Green, MO 63334-1978 2019-01-09
1780901983 Derrick A Mason Marriage & Family Therapist 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 2010-04-27
1336307487 Charles R Burgett Marriage & Family Therapist 410 E 11th Ave, Bowling Green, KY 42101-2637 2008-05-27
1801099031 Wanda Hale Schubarth Marriage & Family Therapist 410 East 11th Street, Bowling Green, KY 42102 2007-06-06
1033246350 Kimberly G Early Marriage & Family Therapist 1830 Destiny Court, Suite 107, Bowling Green, KY 42104 2007-02-27
1245396738 Diana Gail Caillouet Marriage & Family Therapist 2530 Scottsville Rd, 22, Bowling Green, KY 42104-6509 2006-12-29
1295821205 Full Life Counseling Service, Psc Marriage & Family Therapist 1058 Us 31w Byp, Bowling Green, KY 42101-2418 2006-10-05
1295831436 Tonya L Gregory Marriage & Family Therapist 1011 Lehman Ave Ste 103, Bowling Green, KY 42103-6515 2006-09-15
1558471110 Teresa Rohman Marriage & Family Therapist 1719 Ashley Cir Ste 100, Bowling Green, KY 42104-5837 2006-08-30
1235695461 Steven Allen Tyree Marriage & Family Therapist 1911b Scottsville Rd, Bowling Green, KY 42104-3303 2019-02-12
Find all providers in BOWLING GREEN

Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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