AMANDA R PETRIK (NPI# 1770739724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770739724 |
| Entity Type | Individual |
| Full Name | AMANDA R PETRIK |
| Credential | LCPC |
| Practice Address |
3601 Sw 29th St Ste. 214 Topeka KS 66614-2078 |
| Practice Telephone | 7854779117 |
| Mailing Telephone | 7854779117 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC2245 | KS | Behavioral Health & Social Service Providers |
| Street Address |
3601 SW 29TH ST STE. 214 |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465031 | Mary Ann Dugan | Social Worker | 3601 Sw 29th St, Suite 217, Topeka, KS 66614 | 2006-02-08 |
| 1760931703 | Stephanie Jones | Psychologist | 3601 Sw 29th St, #134, Topeka, KS 66614-2078 | 2016-10-03 |
| 1497201115 | David R. Coleman | Social Worker | 3601 Sw 29th St, Ste. 105, Topeka, KS 66614-2015 | 2016-09-01 |
| 1649637711 | Jaime Gilbert | Social Worker | 3601 Sw 29th St, Ste 127, Topeka, KS 66614-2054 | 2016-01-20 |
| 1447621651 | Professional Behavioral Health Medicine | Community/Behavioral Health | 3601 Sw 29th St, Suite 124, Topeka, KS 66614-2078 | 2015-10-14 |
| 1700183530 | Hope Therapy, Inc. | Psychologist | 3601 Sw 29th St, Suite 209, Topeka, KS 66614-2078 | 2011-02-14 |
| 1447556147 | Mallory Keeffe | Social Worker | 3601 Sw 29th St, Suite 112a, Topeka, KS 66614-2015 | 2011-01-28 |
| 1528383031 | Tracey L. Norris | Social Worker | 3601 Sw 29th St, Suite 108, Topeka, KS 66614-2078 | 2010-03-29 |
| 1083842280 | Lisa Ellis | Social Worker | 3601 Sw 29th St, Ste 108, Topeka, KS 66614-2015 | 2009-06-25 |
| 1437387636 | Barbara Huss | Social Worker | 3601 Sw 29th St, Suite 216, Topeka, KS 66614-2078 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821303512 | Jenni Marie Neuer Baker | Counselor | 2850 Sw Mission Woods Dr, Topeka, KS 66614-5616 | 2010-08-18 |
| 1356669329 | Ryan Russell Ozias | Counselor | 5620 Sw 17th Ter, Topeka, KS 66604-3667 | 2010-05-14 |
| 1689881765 | Sarah Marie Riley | Counselor | 306 Sw Van Buren, Topeka, KS 66603-3330 | 2007-05-17 |
| 1881818789 | Tina Rene Davis | Counselor | 534 S Kansas Ave, Suite 600, Topeka, KS 66603-3451 | 2007-04-12 |
| 1992884407 | John H Zobel | Counselor | 1912 Gage Blvd, Topeka, KS 66604-3338 | 2006-11-03 |
| 1649260928 | Hope T,llc | Counselor | 116 Se 7th St, Topeka, KS 66603-3902 | 2005-10-26 |
| 1689282717 | Wendy Lynch | Counselor | 330 Sw Oakley Ave, Topeka, KS 66606-1995 | 2020-07-15 |
| 1124658513 | Desiree Lauren Hanson | Counselor | 4101 Sw Martin Dr Ste B, Topeka, KS 66609-1221 | 2020-01-24 |
| 1144886805 | Tina Renee Brackman | Counselor | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2019-05-17 |
| 1023576386 | Laramie Nicole Barrett | Counselor | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2019-03-06 |
| Find all providers in TOPEKA | ||||
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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.