PEGGY A HORON (NPI# 1770812984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770812984 |
| Entity Type | Individual |
| Full Name | PEGGY A HORON |
| Other Name | PEGGY A REED |
| Credential | LPC |
| Practice Address |
12225 71st St Kenosha WI 53142-7320 |
| Practice Telephone | 2629484870 |
| Mailing Telephone | 2629484870 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2917 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2917 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39349400 | 05 |
| Street Address |
12225 71ST ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376720359 | Katherine M Flynn | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2008-01-22 |
| 1679963706 | Jill R Lotz | Nurse Practitioner | 12225 71st St, Kenosha, WI 53142-7320 | 2015-01-27 |
| 1023354214 | Adam M Stoll | Social Worker | 12225 71st St, Kenosha, WI 53142-7320 | 2012-12-17 |
| 1912252198 | Tarra Anne Combs | Clinical Neuropsychologist | 12225 71st St, Kenosha, WI 53142 | 2012-07-13 |
| 1801152673 | Juvaria Shahabuddin | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2012-04-05 |
| 1558642629 | Rebecca Bons | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2011-09-02 |
| 1912206384 | Jawad Pervez | Psychiatry & Neurology | 12225 71st St, Kenosha, WI 53142-7320 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562101 | Victoria Meyer | Counselor | 8215 43rd Ave, Kenosha, WI 53142-4587 | 2020-06-08 |
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1346750056 | Christopher Francis Gerou | Counselor | 3813 21st Ave, Kenosha, WI 53140-5321 | 2017-10-08 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1306210539 | Sherry Lewis | Counselor | 2221 63rd St, Suite 8, Kenosha, WI 53143-4351 | 2015-11-27 |
| 1275907701 | Worth Counseling | Counselor | 7730 5th Ave, Kenosha, WI 53143-6007 | 2015-11-20 |
| 1053787788 | Angela J Kuffel | Counselor | Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 | 2015-08-17 |
| 1063836187 | Melissa Carlberg | Counselor | 8503 75th St Ste A, Kenosha, WI 53142-7620 | 2014-02-10 |
| 1831534551 | Carla Doreen Pratt | Counselor | 6121 Green Bay Rd Ste 220, Kenosha, WI 53142-2983 | 2013-05-08 |
| 1114238656 | Holly K. Kegel | Counselor | 7530 39th Ave, Kenosha, WI 53142-4348 | 2010-06-30 |
| Find all providers in KENOSHA | ||||
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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.