LORI B PETERSON (NPI# 1669874400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669874400 |
| Entity Type | Individual |
| Full Name | LORI B PETERSON |
| Other Name | LORI PETERSON |
| Credential | LPC |
| Practice Address |
5100 N Brookline Ave Ste 210 Oklahoma City OK 73112-3603 |
| Mailing Address |
6806 Nw 44th St Bethany OK 73008-2523 |
| Practice Telephone | 4059907560 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | U/S | OK | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6454 | OK | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6418 N Santa Fe Ave, Oklahoma City, OK 731169112 | 4052422242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1003152521 | Lori Ann Peterson | Massage Therapist | 40707 N Courage Trl, Anthem, AZ 85086-2531 | 2013-01-02 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1437128535 | Lori A Peterson | Occupational Therapist | 310 Smith Ave N Ste 370, Saint Paul, MN 55102-2383 | 2006-03-14 |
| 1780085753 | Lori Peterson | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-10 |
| 1750673810 | Lori Peterson | Mechanotherapist | 3316 Ne 125th St, Suite #1, Seattle, WA 98125-4565 | 2011-05-09 |
| 1063588978 | Lori Ann Peterson | Physical Therapist | 1550 3rd St, Lincoln Manor, Lincoln, CA 95648 | 2006-11-24 |
| 1821191891 | Lori Jean Peterson | Nurse Practitioner | 1752 Dorset Ln, New Richmond, WI 54017-2452 | 2006-09-06 |
| 1558307884 | Lori Peterson | Pathology | 1892 Williams Street, Ft. Harrison, MT 59636 | 2006-06-22 |
| 1073587259 | Lori Letitia Peterson | Registered Nurse | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2006-02-15 |
| Street Address |
5100 N BROOKLINE AVE STE 210 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1902451040 | Latonyia Yvette Rogers | Counselor | 4001 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2683 | 2019-08-06 |
| 1679139182 | Teresa Ann Larkin | Counselor | 1916 Nw 17th St, Oklahoma City, OK 73106-1804 | 2019-05-10 |
| 1326511767 | Andrea Burton | Counselor | 2724 Plymouth Ln, Oklahoma City, OK 73120-3016 | 2019-01-08 |
| 1659840064 | It Starts With You, Lpc Pllc | Counselor | 200 N Harvey Ave Apt 906, Oklahoma City, OK 73102-4023 | 2018-11-14 |
| 1164939765 | Personal Revolutions Behavioral Health Services, LLC | Counselor | 6801 S Western Ave Ste 105, Oklahoma City, OK 73139-1816 | 2018-01-04 |
| 1285143370 | Elizabeth M. Cocke, LLC | Counselor | 1826 Westminster Pl, Oklahoma City, OK 73120-4702 | 2017-09-21 |
| 1003331075 | Oden Counseling, Pllc | Counselor | 3033 Nw 63rd St Ste 151e, Oklahoma City, OK 73116-3634 | 2017-08-10 |
| 1982127395 | Brook Beavers | Counselor | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2017-07-18 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on LORI B PETERSON.
| 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.