JENNIFER PETERSEN (NPI# 1013311398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013311398 |
| Entity Type | Individual |
| Full Name | JENNIFER PETERSEN |
| Credential | M.A. |
| Practice Address |
4213 Durango Pl Fort Collins CO 80526-4103 |
| Practice Telephone | 9702341147 |
| Mailing Telephone | 9702341147 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2179 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506353 | Jennifer S Petersen | Specialist | 266 Rintin St, Franklin Square, NY 11010-3406 | 2019-09-04 |
| 1740705003 | Jennifer Marie Petersen | Nurse Practitioner | 1892 Bassett Rd, Westlake, OH 44145-1909 | 2017-08-08 |
| 1891236550 | Jennifer Petersen | Counselor | 103 Enterprise Dr, Warsaw, IN 46580-1204 | 2017-03-14 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| 1558669523 | Jennifer L Petersen | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-03-01 |
| 1265586812 | Jennifer L Petersen | Specialist/Technologist | 1256 Bark Rd, Magnolia, OH 44643 | 2007-01-22 |
| 1124180104 | Jennifer Jill Petersen | Chiropractor | 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044 | 2006-12-15 |
| 1841279890 | Jennifer Lynn Petersen | Chiropractor | 128 6th Ave S, Clinton, IA 52732-4103 | 2006-01-10 |
| 1073037982 | Jennifer Suzanne Petersen | Registered Nurse | 5930 S 58th St Ste W, Lincoln, NE 68516-3653 | 2017-08-01 |
| 1265823058 | Jennifer Petersen | Pharmacy Technician | 301 Park Dr, Owatonna, MN 55060-5639 | 2015-02-15 |
| Street Address |
4213 DURANGO PL |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 |
|---|---|---|---|---|
| 1700484318 | Kelly Elizabeth Sinning | Counselor | 19 Old Town Sq Ste 272, Fort Collins, CO 80524-2471 | 2020-10-15 |
| 1518516988 | Melissa Marie Gonzales | Counselor | 375 E Horsetooth Rd Ste 101, Fort Collins, CO 80525-3155 | 2019-09-09 |
| 1124674940 | Katie Renee Frisch | Counselor | 649 Sherry Dr, Fort Collins, CO 80524-8513 | 2019-08-16 |
| 1548812142 | Jennifer Lin Meyer | Counselor | 4025 Automation Way Unit D3, Fort Collins, CO 80525-3448 | 2019-07-12 |
| 1427517127 | Melissa Root | Counselor | 2625 Redwing Rd Ste 180, Fort Collins, CO 80526-6324 | 2019-03-13 |
| 1447722111 | Gabrielle Fihn | Counselor | 1600 Specht Point Rd # 108, Fort Collins, CO 80525-4311 | 2018-12-19 |
| 1114408713 | Amy L Myhre | Counselor | 400 Impala Cir Unit 6, Fort Collins, CO 80521-5114 | 2018-08-22 |
| 1881172377 | Chelsea Elizabeth Twiss | Counselor | 1209 W Plum St Apt A6, Fort Collins, CO 80521-3579 | 2018-08-06 |
| 1952887945 | Paul Allan Chubbuck | Counselor | 1010 Morgan St, Fort Collins, CO 80524-3857 | 2018-07-13 |
| 1427541739 | Martha Canji | Counselor | 375 E Horsetooth Rd Ste 111, Fort Collins, CO 80525-3155 | 2018-06-11 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.