KATHERINE R PETERSON (NPI# 1043730914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043730914 |
| Entity Type | Individual |
| Full Name | KATHERINE R PETERSON |
| Credential | QMHP |
| Practice Address |
975 Kingsview Dr Lebanon OH 45036-9562 |
| Mailing Address |
204 Cook Rd Ste 400 Lebanon OH 45036-9600 |
| Practice Telephone | 5132287800 |
| Practice Fax Number | 5132287846 |
| Mailing Telephone | 5132287800 |
| Mailing Fax Number | 5137252231 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417592742 | Katherine Peterson | Psychologist | 1150 University Dr Ste 103, Menlo Park, CA 94025-4447 | 2019-11-11 |
| 1164076345 | Katherine V Peterson | Dietitian, Registered | 302 W North St Apt 26, Waukesha, WI 53188-5142 | 2019-07-26 |
| 1548671167 | Katherine Anne Peterson | Developmental Therapist | 1130 Jonesboro Quarry Rd, Anna, IL 62906-3777 | 2014-05-16 |
| 1144647322 | Katherine Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
| 1437434370 | Katherine K Peterson | Speech-Language Pathologist | 451 E Poyntz Ave, Manhattan, KS 66502-5045 | 2011-10-11 |
| 1982905980 | Katherine R Peterson | Naturopath | 4240 Kipling St, Wheat Ridge, CO 80033 | 2010-11-06 |
| 1700075579 | Katherine Dean Peterson | Psychologist | 2352 Tyler Ln, Louisville, KY 40205-2635 | 2007-10-17 |
| 1437757093 | Katherine Peterson | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2020-10-15 |
| 1164963393 | Katherine Peterson | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, University of Vermont Medical Center, Burlington, VT 05401-1473 | 2017-03-20 |
| 1679936728 | Katherine Peterson | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, #ms 390, Houston, TX 77030-3411 | 2016-04-05 |
| Street Address |
975 KINGSVIEW DR |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-9562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278381 | Community Mental Health Centers of Warren County, Inc | Clinic/Center | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2005-10-07 |
| 1962010157 | Amanda Vincent | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-07-14 |
| 1457978892 | Ross Robertson | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-07-01 |
| 1982223178 | Cierra Moran | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-04-08 |
| 1205463437 | Elizabeth Delia Staab | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-03-26 |
| 1184259152 | Kelsey Lynn Stone | Case Manager/Care Coordinator | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2020-03-10 |
| 1437798493 | Sahar Abouchahine-allan | Student in an Organized Health Care Education/Training Program | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-12-22 |
| 1477190825 | Stephanie Wright | Counselor | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-12-04 |
| 1568008365 | Ashley N Hendrixson | Case Manager/Care Coordinator | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-11-27 |
| 1164066890 | Madeline Kenter | Social Worker | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1306394440 | Deborah Dobrich | Case Manager/Care Coordinator | 85 Mechanic St # C2-1, Lebanon, NH 03766-1537 | 2016-09-19 |
| 1629457619 | Courtney H Wise | Case Manager/Care Coordinator | 975 A Kingsview Drive, Lebanon, OH 45036-9562 | 2015-05-22 |
| 1972784171 | Latifa Jaima | Case Manager/Care Coordinator | 9 Hanover St Ste 9, Lebanon, NH 03766-1312 | 2007-11-16 |
| 1427191006 | Marcee White | Case Manager/Care Coordinator | 417 Harding Drive, Suite B, Lebanon, TN 37087 | 2007-02-14 |
| 1235270042 | James V Davis | Case Manager/Care Coordinator | 417 Harding Dr, Suite B, Lebanon, TN 37087-3925 | 2007-02-12 |
| 1699381905 | Valerie Morse | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-09-22 |
| 1588275960 | Rachel Loseby | Case Manager/Care Coordinator | 85 Mechanic St Ste 360, Lebanon, NH 03766-1537 | 2020-08-11 |
| 1033730767 | Erik Randall | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-05-05 |
| 1245851310 | Yvonne L Baker | Case Manager/Care Coordinator | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2020-04-30 |
| Find all providers in LEBANON | ||||
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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.