HOLLY PETERSEN (NPI# 1760806103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760806103 |
| Entity Type | Individual |
| Full Name | HOLLY PETERSEN |
| Practice Address |
1143 47th Ave Long Island City NY 11101-5465 |
| Mailing Address |
3127 36th St Apt 1 Astoria NY 11106-1001 |
| Practice Telephone | 6318800644 |
| Mailing Telephone | 6318800644 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 085016 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083184402 | Holly Marie Petersen | Community Health Worker | 1020 S Main St # 200, Salt Lake City, UT 84101-3176 | 2018-11-28 |
| 1386021137 | Holly Petersen | Massage Therapist | 15081 Se 126th Ave, Clackamas, OR 97015-9257 | 2015-04-30 |
| 1114230547 | Holly Anne Petersen | Physical Therapist | 186 Summer St, Kingston, MA 02364-1282 | 2010-07-14 |
| Street Address |
1143 47TH AVE |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700092913 | Jessica Suzanne Kohoutek | Nurse Practitioner | 1143 47th Ave, Long Island City, NY 11101-5418 | 2007-05-15 |
| 1013331149 | Jacqueline Nichols-jeune | Community/Behavioral Health | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-10 |
| 1548684921 | Minerva Morales | Social Worker | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-06 |
| 1134543655 | Cherylee Pottinger | Social Worker | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-05 |
| 1124442546 | Angelica Rubio | Community/Behavioral Health | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-05 |
| 1184905192 | Meghan Colleen Mackowiak | Nurse Practitioner | 1143 47th Ave, Long Island City, NY 11101-5465 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| 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 |
|---|---|---|---|---|
| 1235371964 | Angela Perez | Marriage & Family Therapist | 2215 43rd Ave, Long Island City, NY 11101-5018 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1528666054 | Esther Mann | Marriage & Family Therapist | 1226 W Broadway # L-2, Hewlett, NY 11557-1923 | 2020-10-16 |
| 1205434883 | Rachel Davies | Marriage & Family Therapist | 8641 Cobalt Dr, Cicero, NY 13039-8943 | 2020-10-15 |
| 1669079935 | Tiffany Sheppard | Marriage & Family Therapist | 1057 Boynton Ave Apt 2a, Bronx, NY 10472-5761 | 2020-10-08 |
| 1528665205 | Aurela Gjura | Marriage & Family Therapist | 432 E 149th St Fl 3, Bronx, NY 10455-1343 | 2020-10-06 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1265039168 | Christina Berdebes | Marriage & Family Therapist | 11123 76th Rd Apt C5, Forest Hills, NY 11375-6434 | 2020-10-04 |
| 1144827122 | Rachel Kinsella | Marriage & Family Therapist | 141 W 26th St Apt 4b, New York, NY 10001-6800 | 2020-10-03 |
| 1720695554 | Katie Lynn Helpley Marriage & Family Therapist Pllc | Marriage & Family Therapist | 550 Stony Brook Ct Ste 3, Newburgh, NY 12550-6557 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
Please comment or provide details below to improve the information on HOLLY PETERSEN.
| 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.