PETER JOSEPH LERESCHE (NPI# 1639507007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639507007 |
| Entity Type | Individual |
| Full Name | PETER JOSEPH LERESCHE |
| Practice Address |
32670 Highway 20 Fort Bragg CA 95437-5708 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7079641136 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
98013 | CA | Behavioral Health & Social Service Providers |
| N | 225C00000X | Rehabilitation Counselor | 98013 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
32670 HIGHWAY 20 |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649605940 | Martha Mccord | Marriage & Family Therapist | 32670 Highway 20, Fort Bragg, CA 95437-5708 | 2013-09-05 |
| 1801354451 | Joeann Perdue | Counselor | 32670 Highway 20, Fort Bragg, CA 95437-5708 | 2019-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1295871135 | Sherry Ellen Ackeson-madden | Counselor | 124 E Pine St, Fort Bragg, Fort Bragg, CA 95437-3222 | 2007-01-29 |
| 1316009087 | Pamela Joy Steward | Counselor | 790 S Franklin St Ste B, Fort Bragg, CA 95437-5456 | 2006-12-15 |
| 1245846245 | Nicole Paravicini | Counselor | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2020-09-16 |
| 1265084628 | Mike Garrett Spaar | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-07-15 |
| 1003249525 | Jessica Ehlers | Counselor | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2013-08-20 |
| 1821340480 | Genevieve Marilyn Gonzalez | Counselor | 205 South St, Fort Bragg, CA 95437 | 2012-10-08 |
| 1659503175 | Marilyn T Paventy | Counselor | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2009-08-17 |
| 1730387770 | Erik Erickson | Counselor | 544 S Main St, Fort Bragg, CA 95437-5107 | 2007-07-10 |
| 1154440568 | Jewell Tamar Ham | Counselor | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2007-03-28 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on PETER JOSEPH LERESCHE.
| 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.