MR. JEFFREY DANIEL PETERSEN (NPI# 1912330085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912330085 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY DANIEL PETERSEN |
| Practice Address |
2655 Enterprise Rd Reno NV 89512-1666 |
| Mailing Address |
2475 Robb Dr Apt 111 Reno NV 89523-2814 |
| Practice Telephone | 7756881636 |
| Mailing Telephone | 7757621930 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649312752 | Jeffrey Petersen | Internal Medicine | 300 Pasteur Dr # A175mc5309, Stanford, CA 94305-2200 | 2007-02-13 |
| 1669454211 | Jeffrey Ian Petersen | Dentist | 2448 Guerneville Rd, Santa Rosa, CA 95403-4175 | 2005-11-18 |
| 1912367251 | Jeffrey Petersen | Physical Therapist | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2016-02-29 |
| 1184998585 | Jeffrey Ming Petersen | Pathology | 10833 Le Conte Ave, 13-145a Center for Hlth Sci, Los Angeles, CA 90095-3075 | 2012-03-02 |
| 1952543969 | Jeffrey W. Petersen | Specialist/Technologist | 308 S 3rd St, Watseka, IL 60970-1604 | 2009-04-06 |
| 1891977419 | Jeffrey Scott Petersen | Counselor | 500 Crown Point Cir, Grass Valley, CA 95945-9514 | 2007-12-05 |
| 1841389699 | Jeffrey Petersen | Physical Therapist | 1844 E Baseline Rd Ste C5, Tempe, AZ 85283-1506 | 2006-10-12 |
| 1699794735 | Jeffrey Petersen | Family Medicine | 1035 S Main Ave, Fallbrook, CA 92028-3338 | 2006-07-19 |
| 1275551707 | Jeffrey E Petersen | Dermatology | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2395 | 2006-07-17 |
| Street Address |
2655 ENTERPRISE RD |
| City | RENO |
| State | NV |
| Zip Code | 89512-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033289392 | William Frederick Harvey | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2006-11-08 |
| 1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1952902926 | Emily Morgan | Case Manager/Care Coordinator | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1104432558 | Kellee Fitzgerald | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-21 |
| 1255945150 | Brandon Gaeta | Rehabilitation Practitioner | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-08 |
| 1154934206 | Peter Thacher Arnold | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-08-28 |
| 1689200354 | Rachel Alia Bronk | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-03-13 |
| 1558993832 | Emmanuel Armas | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-02-05 |
| 1730739582 | Mary Katherine Short | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-09-13 |
| 1376016352 | Maria-veronica D Ong | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719622 | Amy Lynn Roukie | Counselor | 850 Mill St Ste 101, Reno, NV 89502-1413 | 2020-08-06 |
| 1346863792 | William John Wynn II | Counselor | 155 Cadillac Pl, Reno, NV 89509-4355 | 2020-05-20 |
| 1013549401 | Ashley Osborne | Counselor | 1201 Terminal Way Ste 100, Reno, NV 89502-3420 | 2020-02-04 |
| 1760950364 | Troy Petersen | Counselor | 1680 Sky Mountain Dr Apt J144, Reno, NV 89523-6127 | 2018-11-13 |
| 1780181248 | Diana Wright, Psy.d., LLC | Counselor | 4600 Kietzke Ln Ste C129, Reno, NV 89502-5037 | 2018-04-11 |
| 1932607470 | Taylor Rae Riker | Counselor | 2300 Dickerson Rd Apt 11, Reno, NV 89503-4909 | 2018-01-30 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1124533245 | Shannon Joy Glasser | Counselor | 722 Gordon Ave, Reno, NV 89509-1405 | 2017-12-12 |
| 1730693482 | Gabrielle Lapira | Counselor | 3030 Leadership Pkwy Unit 13310, Reno, NV 89503-2186 | 2017-11-16 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| Find all providers in RENO | ||||
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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.