TRENT PETERSON (NPI# 1770988248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770988248 |
| Entity Type | Individual |
| Full Name | TRENT PETERSON |
| Credential | ACMHC |
| Practice Address |
3740 W Market Center Dr Suite 1200, Lds Family Services Riverton UT 84065-8026 |
| Practice Telephone | 8012409436 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
90824446009 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689163180 | Trent M Peterson | Internal Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2018-05-09 |
| Street Address |
3740 W MARKET CENTER DR SUITE 1200, LDS FAMILY SERVICES |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-8026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047567 | Shantel Nichole Pettit | Social Worker | 3740 W Market Center Dr, #1200, Riverton, UT 84065-8026 | 2013-08-19 |
| 1902457831 | Kayla Jeannine Rawson | Social Worker | 3740 W Market Center Dr, Riverton, UT 84065-8026 | 2019-09-23 |
| 1790201234 | Paula Lynn Paulson | Counselor | 3740 W Market Center Dr, Riverton, UT 84065-8026 | 2017-08-16 |
| 1295137594 | Zachary Thomas Duvall | Counselor | 3740 W Market Center Dr, 1200, Riverton, UT 84065-8026 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228795 | Aimee Mcphie | Counselor | 3409 W 12600 S Ste 110, Riverton, UT 84065-7270 | 2019-01-09 |
| 1679052831 | Lail Louise Berrett | Counselor | 12447 S Crossing Dr, Riverton, UT 84096-7010 | 2018-08-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1679871289 | Jeffrey Allen Langworthy | Counselor | 1262 W 12700 S Ste D, Riverton, UT 84065-7830 | 2011-03-05 |
| 1881897197 | Dennis E Williams | Counselor | 607 E Washington Ave, Riverton, WY 82501-4424 | 2007-06-06 |
| 1902815806 | Erik Hanson | Counselor | 30 Holiday Ln, Riverton, IL 62561-9620 | 2006-08-07 |
| 1144843418 | Katelyn Jaeger | Counselor | 3409 W 12600 S Ste 110, Riverton, UT 84065-7270 | 2020-05-21 |
| 1164073086 | Lighthouse Counseling Services, Pllc | Counselor | 3409 W 12600 S Ste 110, Riverton, UT 84065-7270 | 2019-09-23 |
| 1699206763 | Mayreann Frantz | Counselor | 3409 W 12600 S, Ste 230, Riverton, UT 84065-7260 | 2017-03-21 |
| 1073064275 | Erica Thurston | Counselor | 3409 W 12600 S Ste 230, Riverton, UT 84065-7270 | 2016-10-22 |
| Find all providers in RIVERTON | ||||
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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.