MICHAEL TERRILL PETERSON (NPI# 1972852978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972852978 |
| Entity Type | Individual |
| Full Name | MICHAEL TERRILL PETERSON |
| Practice Address |
1510 W Ottawa Rd Paxton IL 60957-4090 |
| Practice Telephone | 2173794302 |
| Practice Fax Number | 2173794304 |
| Mailing Telephone | 2173794302 |
| Mailing Fax Number | 2173794304 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
1510 W OTTAWA RD |
| City | PAXTON |
| State | IL |
| Zip Code | 60957-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972567261 | Community Resource & Counseling Center Inc | Clinic/Center | 1510 W Ottawa Rd, Paxton, IL 60957 | 2006-04-13 |
| 1245847391 | Joseph Mooney | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-09-23 |
| 1972115988 | Tara Valentine | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-08-20 |
| 1922664721 | Anna Asplund | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-05-16 |
| 1497319313 | Kimber King | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1699339515 | Anthony Mosinski | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1366909913 | Joshua Aaron Carter | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-03-01 |
| 1316434731 | Bethany Britton | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| 1427545847 | Miranda Shryack | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| 1710474135 | Leslie L Wade | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063976033 | Vogel's Compounding Pharmacy Pllc | Pharmacist | 137 North Market Street, Paxton, IL 60957 | 2019-01-24 |
| 1811472079 | Virginia Lafray | Licensed Practical Nurse | 151 W Ottawa Rd, Paxton, IL 60957 | 2018-10-03 |
| 1669648473 | Catherine Marie Demler | Skilled Nursing Facility | 1001 E Ells St, Paxton, IL 60957 | 2008-05-01 |
| 1841411360 | Gwyn L Howard | Physical Therapist | 257 W. Orleans, Paxton, IL 60957 | 2007-05-01 |
| 1467595017 | Andrew R Hudson | Pharmacist | 108 N Market Street, Paxton, IL 60957 | 2007-02-14 |
| 1033283189 | Melvin N. Seglin | Psychiatry & Neurology | 1510 W. Ottawa Rd., Paxton, IL 60957 | 2006-11-20 |
| 1306943907 | Ann A Stout | Social Worker | 1510 W Ohawa, Paxton, IL 60957 | 2006-09-19 |
| 1942307541 | Carol Schrepfer Colburn | Social Worker | 1510 W Ottowa, Paxton, IL 60957 | 2006-09-19 |
| 1912015710 | Paxton Buckley Loda Comm Unit School Dist 10 | Local Education Agency (LEA) | Panther Way, Paxton, IL 60957 | 2006-08-29 |
| 1922010701 | Laurelyn Hodges Cropek | Marriage & Family Therapist | 1510 W Ottawa, Paxton, IL 60957 | 2006-08-12 |
| Find all providers in zip 60957 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671890 | Jillian Kelly Schlomas | Counselor | 1510 W Ottawa Rc, Paxton, IL 60918 | 2020-05-20 |
| 1871862433 | Celtic Counseling Inc. | Counselor | 579 Pleasant St, Suite 1, Paxton, MA 01612-1307 | 2011-12-27 |
| 1245847391 | Joseph Mooney | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-09-23 |
| 1972115988 | Tara Valentine | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-08-20 |
| 1922664721 | Anna Asplund | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-05-16 |
| 1497319313 | Kimber King | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1699339515 | Anthony Mosinski | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1366909913 | Joshua Aaron Carter | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-03-01 |
| 1316434731 | Bethany Britton | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| 1427545847 | Miranda Shryack | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| Find all providers in PAXTON | ||||
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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.