JERRY B. PETERS (NPI# 1811024730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811024730 |
| Entity Type | Individual |
| Full Name | JERRY B. PETERS |
| Credential | L.C.S.W. |
| Practice Address |
1734 E 63rd St Suite 301 Kansas City MO 64110-3543 |
| Practice Telephone | 8163339999 |
| Practice Fax Number | 8163331943 |
| Mailing Telephone | 8163339999 |
| Mailing Fax Number | 8163331943 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
002286 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250036 | Jerry Peters | Emergency Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-04 |
| Street Address |
1734 E 63RD ST SUITE 301 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64110-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074406 | Bertram Caruthers Jr. | Dermatology | 1734 E 63rd St, Ste 470, Kansas City, MO 64110-5341 | 2005-06-25 |
| 1033653928 | Reflection of Reality | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St, Suite # 312, Kansas City, MO 64110-3543 | 2016-12-12 |
| 1528510666 | A Life At Home Health Care LLC | In Home Supportive Care | 1734 E 63rd St, Ste 210 A, Kansas City, MO 64110-3543 | 2016-10-25 |
| 1720535404 | A Blessed Choice of Care,llc | In Home Supportive Care | 1734 E 63rd St, Suite 422, Kansas City, MO 64110-3543 | 2016-09-09 |
| 1023411055 | A Lifes Journey, LLC | Counselor | 1734 E 63rd St, Suite 504, Kansas City, MO 64110-3543 | 2014-10-05 |
| 1255637880 | A Sweet Relief In-home Health Care Services LLC | In Home Supportive Care | 1734 E 63rd St, Ste. 214, Kansas City, MO 64110-3543 | 2011-01-29 |
| 1689981441 | Clayview Home Health Services Inc | Home Health | 1734 E 63rd St, 208, Kansas City, MO 64110-3543 | 2010-08-31 |
| 1760703011 | Lifestyle Home Care LLC | In Home Supportive Care | 1734 E 63rd St, Suite 600 E, Kansas City, MO 64110-3543 | 2010-06-21 |
| 1184947129 | Louis C Manuel, M.d. Eye Services, Inc. | Clinic/Center | 1734 E 63rd St, Ste 501, Kansas City, MO 64110-3543 | 2010-03-04 |
| 1962733667 | Andrea R Stricklin | Massage Therapist | 1734 E 63rd St, Ste 410, Kansas City, MO 64110-3543 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1053803510 | Humanity Homecare LLC | In Home Supportive Care | 1734 E 63rd St Ste 208, Kansas City, MO 64110 | 2018-05-31 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1578003984 | 1st Action Home Health LLC | In Home Supportive Care | 1734 E 63rd St Ste 407, Kansas City, MO 64110 | 2017-03-03 |
| 1316212285 | Leah Karma Probasco-burns | Counselor | 633 E 63rd St Ste 230, Kansas City, MO 64110 | 2012-03-12 |
| 1093088007 | Amanda Kinsey | Speech-Language Pathologist | 4848 Woodland Ave, Kansas City, MO 64110 | 2012-02-22 |
| 1952612673 | Braxton Baker | Speech-Language Pathologist | 4341 Locust St, Kansas City, MO 64110 | 2010-06-28 |
| 1902031529 | Candice A Robinson Law | Optometrist | Brookside Eye Care Center, 520 E 63rd Street, Kansas City, MO 64110 | 2009-05-27 |
| 1942446232 | School District of Kansas City, Missouri | Clinic/Center | 4747 Flora, Kansas City, MO 64110 | 2008-12-17 |
| Find all providers in zip 64110 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816631 | Patrick P Pruitt | Counselor | 600 W 39th St, Kansas City, MO 64111-2910 | 2018-10-12 |
| 1174989248 | Gary Dumas | Counselor | 1734 E 63rd St Ste 600b, Kansas City, MO 64110-5359 | 2016-01-05 |
| 1144690223 | Christy Pease | Counselor | 6723 State Ave, Kansas City, KS 66102-3020 | 2015-10-01 |
| 1598157380 | Nancy Mccormick | Counselor | 12 E Dartmouth Rd, Kansas City, MO 64113-2525 | 2015-03-03 |
| 1629485974 | Addiction Stress Center | Counselor | 1225 N 78th St, Suite J, Kansas City, KS 66112-2401 | 2014-07-18 |
| 1902210834 | Jessica Smith | Counselor | 1024 Hoel Pkwy, Kansas City, KS 66102-4138 | 2014-06-18 |
| 1114351053 | Falicia R Hooks | Counselor | 723 E 18th St, Kansas City, MO 64108-1511 | 2013-08-28 |
| 1922430909 | Erin Linne Gaal | Counselor | 4311 N 110th Ter, Kansas City, KS 66109-3603 | 2013-08-01 |
| 1861745382 | Tracie Lynn Camlin | Counselor | 630 Minnesota Ave Ste 204, Kansas City, KS 66101-2850 | 2012-10-22 |
| 1134487689 | Menissa Hill-brox | Counselor | 7933 State Ave, Suite 203, Kansas City, KS 66112-2468 | 2012-05-02 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64110 |
Please comment or provide details below to improve the information on JERRY B. PETERS.
| 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.