ANGELA T. PECK (NPI# 1861881880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861881880 |
| Entity Type | Individual |
| Full Name | ANGELA T. PECK |
| Other Name | ANGIE T. PECK |
| Credential | LAC |
| Practice Address |
521 N Main Ave Suite 100 Sioux Falls SD 57104-5948 |
| Practice Telephone | 6053678793 |
| Practice Fax Number | 6053678247 |
| Mailing Telephone | 6053678793 |
| Mailing Fax Number | 6053678247 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
08051364 | SD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669808077 | Angela Michelle Peck | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2013-09-17 |
| Street Address |
521 N MAIN AVE SUITE 100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295888 | City of Sioux Falls | Clinic/Center | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2006-10-05 |
| 1659924496 | Jill Louise Pitz | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2019-07-22 |
| 1508341678 | Sarah Elizabeth Fuerstenberg | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104 | 2018-09-25 |
| 1487152955 | Melissa Anne Vondrak | Dietitian, Registered | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2018-01-30 |
| 1457888760 | City of Sioux Falls | Family Medicine | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2017-05-17 |
| 1437501335 | Gina M Geffre | Dentist | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2016-07-05 |
| 1013358092 | Whitney Kay Larsen | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104 | 2013-07-08 |
| 1942505102 | Jennifer Jean Tinguely | Family Medicine | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2011-01-20 |
| 1376790626 | Usd Dental Clinic | Clinic/Center | 521 N Main Ave, Suite 202, Sioux Falls, SD 57104-5948 | 2008-08-19 |
| 1467613380 | Kelsey Sue Sharpe | Dentist | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991232 | Danae Lynn Mutchelknaus | Counselor | 57107, Sioux Falls, SD 57107 | 2018-05-02 |
| 1932594322 | Jennie C Mayer | Counselor | 6330 S Western Ave Ste 140, Sioux Falls, SD 57108-3412 | 2015-04-01 |
| 1669766366 | Karen Johnson | Counselor | 2701 S Minnesota Ave Ste 6, Sioux Falls, SD 57105-4746 | 2011-05-31 |
| 1669601589 | Barbara Ra Christensen | Counselor | 6809 S Minnesota Ave Ste 102, Sioux Falls, SD 57108-2570 | 2009-07-13 |
| 1952543225 | Connie Kay Fritz | Counselor | 6209 E Silver Maple Cir Ste 2, Sioux Falls, SD 57110-7806 | 2009-04-01 |
| 1295970986 | Stacia Marie Nissen | Counselor | 711 N Lake Ave, Sioux Falls, SD 57104-2203 | 2008-12-09 |
| 1932245800 | Daniel D Deal | Counselor | 2110 S. Brown Place, Sioux Falls, SD 57105-6582 | 2007-01-29 |
| 1154483667 | Craig J.p. Kindrat | Counselor | 2412 S Cliff Ave, Suite 100, Sioux Falls, SD 57105-4031 | 2006-12-14 |
| 1831251172 | Maria D Piacentino | Counselor | 4109 S Carnegie Cir, Sioux Falls, SD 57106-2321 | 2006-12-14 |
| 1376604942 | Janell Christenson | Counselor | 3936 S Western Ave, Sioux Falls, SD 57105-6513 | 2006-12-13 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on ANGELA T. PECK.
| 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.