JENNIFER R PETERSON (NPI# 1801428065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801428065 |
| Entity Type | Individual |
| Full Name | JENNIFER R PETERSON |
| Other Name | JENNIFER NEVINS |
| Credential | TLMHC, NCC, CTRS |
| Practice Address |
808 E 7th St Atlantic IA 50022-1805 |
| Mailing Address |
2782 110th St Elliott IA 51532-5007 |
| Practice Telephone | 7123520917 |
| Mailing Telephone | 4022126317 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
099339 | IA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 803 3rd Ave, Council Bluffs, IA 515014101 | 7123520917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| 1164621595 | Jennifer Lynne Peterson | Physical Therapist | 4646 E. Greenway Rd, Suite 110, Phoenix, AZ 85032 | 2007-07-16 |
| Street Address |
808 E 7TH ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| Find all providers in zip 50022 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861790057 | Denise N Kinney | Counselor | 2114 Maple St, Atlantic, IA 50022-2814 | 2011-03-11 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1952921116 | Nichole Marie Waterman | Counselor | 101 E 22nd St, Atlantic, IA 50022-2879 | 2020-04-17 |
| 1275936478 | Elizabeth Smith | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2014-10-01 |
| 1316354566 | Brenda Rae Kite | Counselor | 1408 E 10th St, Atlantic, IA 50022-1934 | 2014-07-21 |
| 1215379243 | Lila K Stephens | Counselor | 1408 E 10th St, Atlantic, IA 50022-1934 | 2013-07-18 |
| 1952679300 | Billie Jo Butler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2011-12-13 |
| 1801164579 | Tausha Nicole Coffman | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2011-12-08 |
| 1821241555 | Catherine Anne Stack | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2008-10-26 |
| 1457523599 | Ann Marie Young | Counselor | 101 E 22nd St, Atlantic, IA 50022-2800 | 2008-03-28 |
| Find all providers in ATLANTIC | ||||
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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.