ANDREA PETERSON (NPI# 1609146570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609146570 |
| Entity Type | Individual |
| Full Name | ANDREA PETERSON |
| Credential | LMFT |
| Practice Address |
2378 Maritime Dr Ste 100 Elk Grove CA 95758-3641 |
| Practice Telephone | 9168491273 |
| Mailing Telephone | 9168491273 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 85722 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 69319 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1154689412 | Andrea Lyn Peterson | Occupational Therapy Assistant | 3452 Hickory Ln, Deer Park, TX 77536-5051 | 2012-04-24 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1336762772 | Andrea Peterson | Behavioral Analyst | 8285 S Saginaw St, Grand Blanc, MI 48439-2468 | 2020-05-20 |
| 1740812858 | Andrea Peterson | Psychologist | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2020-02-06 |
| 1063876019 | Andrea Michelle Peterson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9032 | 2016-04-06 |
| 1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
| 1942324876 | Andrea M.h. Peterson | Social Worker | 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 | 2007-03-17 |
| 1801904776 | Andrea T Peterson | Physical Medicine & Rehabilitation | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-29 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| Street Address |
2378 MARITIME DR STE 100 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881739480 | Stacey Mayzong Thao | Counselor | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758 | 2007-02-21 |
| 1851724694 | Healing and Growth Counseling Services | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2013-08-15 |
| 1508198011 | Nicole Kesler | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716636 | Allissa Denise Maurer | Marriage & Family Therapist | 9075 Elk Grove Blvd Ste 220, Elk Grove, CA 95624-2072 | 2020-09-26 |
| 1346876646 | Turnerwood Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 8788 Elk Grove Blvd Ste 3-16, Elk Grove, CA 95624-1766 | 2020-03-18 |
| 1740823509 | Point Quest Behavioral Health Ca, LLC | Marriage & Family Therapist | 9355 E Stockton Blvd Ste 225, Elk Grove, CA 95624-9476 | 2019-10-24 |
| 1467931022 | Change By Coniah Family Counseling, A Professional Corporation | Marriage & Family Therapist | 2376 Maritime Dr Ste 200, Elk Grove, CA 95758-3640 | 2018-08-14 |
| 1629554670 | Amie Lynn Escher | Marriage & Family Therapist | 9401 E Stockton Blvd Ste 145, Elk Grove, CA 95624-5051 | 2018-07-12 |
| 1578069944 | Thais Helena Turner | Marriage & Family Therapist | 8788 Elk Grove Boulevard, Building 3, Suite 16, Elk Grove, CA 95758-1769 | 2018-04-03 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1548797335 | Sandra Rulon | Marriage & Family Therapist | 9941 Falcon Meadow Dr, Elk Grove, CA 95624-2763 | 2017-05-11 |
| 1699206904 | Dalise Gada | Marriage & Family Therapist | 8630 W Wing Dr, Elk Grove, CA 95758-9538 | 2017-03-27 |
| 1871036905 | Steven Brody | Marriage & Family Therapist | 9654 Mardelle Way, Elk Grove, CA 95624-2431 | 2016-11-21 |
| Find all providers in ELK GROVE | ||||
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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.