JEANETTE FAY PELTOLA (NPI# 1033720321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033720321 |
Entity Type | Individual |
Full Name | JEANETTE FAY PELTOLA |
Credential | PLC,MA |
Practice Address |
968 Harbor Ct Traverse City MI 49685-9355 |
Practice Telephone | 2316321370 |
Mailing Telephone | 2316321370 |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-08-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401003877 | MI | Behavioral Health & Social Service Providers |
Street Address |
968 HARBOR CT |
City | TRAVERSE CITY |
State | MI |
Zip Code | 49685-9355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508379496 | Alexandra Hull | Physical Therapist | 4177 Village Park Dr., Suite B, Traverse City, MI 49685 | 2017-11-14 |
1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
1013307867 | Culver Senior Living, Inc. | Foster Care Agency | 1745 N West Silver Lake Rd, Traverse City, MI 49685 | 2015-02-02 |
1295154656 | Mark Langlois Jr. | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2014-04-14 |
1679844849 | Crystal Lake Clinic, PC | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2012-01-20 |
1487103610 | Laura Christine Field | Social Worker | 6325 Cherry Blossom Dr, Traverse City, MI 49685-5000 | 2016-09-29 |
1730132879 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 404 W Commerce Dr, Suite B, Traverse City, MI 49685-5854 | 2006-05-18 |
1588281695 | Carly Overmire | Behavior Technician | 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 | 2020-07-06 |
1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
1376927756 | Crystal Lake Clinic P.C. | Family Medicine | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2015-07-15 |
Find all providers in zip 49685 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922629047 | International Center for Integral Health and Education | Counselor | 263 Midtown Dr, Traverse City, MI 49684-5752 | 2020-04-29 |
1255961868 | Joan M Ledford | Counselor | 928 S Garfield Avenue, Suite 3a, Traverse City, MI 49686-0000 | 2020-01-23 |
1942840137 | Kristen Nicole Vanderkolk | Counselor | 928 S Garfield Ave Ste 3a, Traverse City, MI 49686-2403 | 2020-01-15 |
1801454459 | Anchor and Hope Counseling, LLC | Counselor | 2150 S Airport Rd W Ste C, Traverse City, MI 49684-4705 | 2019-05-30 |
1467809723 | Jakob Rossi | Counselor | 733 E 8th St Ste 204, Traverse City, MI 49686-2665 | 2016-05-17 |
1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
1649660226 | Gerald Micketti | Counselor | 1200 W. 11th Street, Suite 111, Traverse City, MI 49684-3288 | 2015-02-03 |
1396155149 | Andra Williams | Counselor | 954 Business Park Dr, Suite 2, Traverse City, MI 49686-8763 | 2014-05-02 |
1922439835 | Tara Carroll | Counselor | 225 W 14th St, Traverse City, MI 49684-4037 | 2013-12-02 |
1033550363 | Emily Knapp | Counselor | 7150 Lake Leelanau Dr, Traverse City, MI 49684-9536 | 2013-07-15 |
Find all providers in TRAVERSE CITY |
City | TRAVERSE CITY |
Zip Code | 49685 |
Please comment or provide details below to improve the information on JEANETTE FAY PELTOLA.
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.