LISA C PETERS (NPI# 1750561767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750561767 |
| Entity Type | Individual |
| Full Name | LISA C PETERS |
| Credential | LCPC |
| Practice Address |
336 S Main St Ste 2ca Bel Air MD 21014-3978 |
| Mailing Address |
1413 Gunston Rd Bel Air MD 21015-1309 |
| Practice Telephone | 4109618389 |
| Practice Fax Number | 4106308378 |
| Mailing Telephone | (410) 961-8389 |
| Mailing Fax Number | 4106308378 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2247 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 016425900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 E Pennsylvania Ave, Suite 101, Bel Air, MD 210143727 | 4109618389 | 4106308378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642559 | Lisa Peters | Registered Nurse | 965 E 56th St, Brooklyn, NY 11234-1703 | 2010-07-01 |
| 1881714293 | Lisa M Peters | Dentist | 7521 W Sand Lake Rd, Orlando, FL 32819-5109 | 2007-03-30 |
| 1194194233 | Lisa Mae Peters | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2015-09-18 |
| 1366876724 | Lisa Rene Peters | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2013-08-21 |
| 1003158064 | Lisa B Peters | Pharmacist | 6202 S 16th St, Phoenix, AZ 85042-4434 | 2013-03-18 |
| 1548524473 | Lisa Ann Peters | Case Manager/Care Coordinator | 175 Arsenal St, Watertown, NY 13601-2522 | 2012-06-26 |
| 1073874582 | Lisa A Peters | Counselor | 365 S Portage Path, Akron, OH 44320-2325 | 2012-05-31 |
| 1467726679 | Lisa Peters | Counselor | 1301 Kalamath St, Denver, CO 80204-2526 | 2012-03-06 |
| 1255664660 | Lisa Fern Peters | Massage Therapist | 156 Se 4th Ave., Hillsboro, OR 97123-4161 | 2009-09-16 |
| 1285834473 | Lisa Arnelle Peters | Audiologist | 6565 N Charles St, Ppe Suite 601, Baltimore, MD 21204-6800 | 2007-07-25 |
| Street Address |
336 S MAIN ST STE 2CA |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053465211 | Johanna S Wayne | Social Worker | 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 | 2007-01-23 |
| 1528532777 | Jodi Wayne, Lcsw-c, LLC | Community/Behavioral Health | 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511330 | Karen Hope Honecker | Counselor | 1220 E Churchville Rd, Bel Air, MD 21014-3406 | 2020-06-01 |
| 1912549890 | Erin Leach | Counselor | 626 Ridgewood Rd, Bel Air, MD 21014-2937 | 2019-10-12 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1669946000 | Melanie Ann Sipes | Counselor | 1705 Conowingo Rd, Bel Air, MD 21014-1815 | 2019-01-18 |
| 1245701119 | Integrated Counseling Professionals LLC | Counselor | 1614 E. Churchville Rd, Ste 101a, Bel Air, MD 21015-2050 | 2018-12-17 |
| 1336616275 | Amy Marie Parks | Counselor | 260 Gateway Dr Ste 20b, Bel Air, MD 21014-4239 | 2018-10-29 |
| 1194273946 | Philip Guillet | Counselor | 2014 S Tollgate Rd Ste 208, Bel Air, MD 21015-5904 | 2016-09-21 |
| 1154774834 | Thomas Joseph Whiteleather | Counselor | 37 E Lee St, Bel Air, MD 21014-3528 | 2016-07-19 |
| 1437500154 | Brian Cimaglia | Counselor | 4 North Avenue # 306, Bel Air, MD 21014 | 2016-06-23 |
| 1205282449 | Real Life Counseling LLC | Counselor | 21-25 E Ellendale Street, Suite B, 2nd Floor, Bel Air, MD 21014-2924 | 2016-05-06 |
| Find all providers in BEL AIR | ||||
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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.