ADAM GREGORY PETERSON (NPI# 1891049177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891049177 |
| Entity Type | Individual |
| Full Name | ADAM GREGORY PETERSON |
| Credential | LADC |
| Practice Address |
343 Woodlake Dr Se Rochester MN 55904-6242 |
| Mailing Address |
4573 Ruby Ln Nw Rochester MN 55901-6562 |
| Practice Telephone | 5072816248 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| 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) |
303436 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358018 | Adam Peterson | Counselor | 200 Beatty St, Medford, OR 97501-5811 | 2020-05-27 |
| 1467978858 | Adam David Peterson | Psychologist | 3200 Vine Street, Office B125a, Cincinnati, OH 45220 | 2017-08-17 |
| 1659724177 | Adam Peterson | Student in an Organized Health Care Education/Training Program | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2016-07-20 |
| 1033539937 | Adam Peterson | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2014-04-18 |
| 1306263595 | Adam Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
| 1578871810 | Adam Peterson | Counselor | 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086-7624 | 2010-09-21 |
| Street Address |
343 WOODLAKE DR SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811050560 | Amy Grace Pyron Hugo | Social Worker | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2006-12-17 |
| 1689290389 | Jayvie Siarez Ramirez | Social Worker | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2020-06-19 |
| 1962034553 | Rachel Lynn Allen | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2020-02-11 |
| 1427615764 | Shelby Elizabeth Klein | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2019-05-22 |
| 1992261572 | Irene Kruger | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2019-02-19 |
| 1700340221 | Rebecca L. Potter | Social Worker | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2019-01-29 |
| 1184196768 | Jason Lee Ness | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2018-12-20 |
| 1649755265 | Krystle Jean Moe | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2018-09-28 |
| 1992288054 | Jenna G Goldsmith | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2018-09-13 |
| 1649756487 | Natalee Joy Mcneff Campbell | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on ADAM GREGORY PETERSON.
| 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.