LISA M PETERSEN (NPI# 1063707305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063707305 |
| Entity Type | Individual |
| Full Name | LISA M PETERSEN |
| Credential | LMHP |
| Practice Address |
801 Harmony St Suite 302 Council Bluffs IA 51503-3106 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 7123282609 |
| Practice Fax Number | 7123289257 |
| Mailing Telephone | 4023986248 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 001501 | IA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 8871 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239338 | Lisa Petersen | Pharmacist | 213 Calumet Ave Sw, De Smet, SD 57231-2161 | 2015-07-09 |
| 1609141209 | Lisa Petersen | Registered Nurse | 191 Vermont Ave, Staten Island, NY 10305-1727 | 2012-03-14 |
| 1184620957 | Lisa Jo Petersen | Family Medicine | 933 Red Apple Rd Ste D, Central Washington Hospital Women's Healthcare Center, Wenatchee, WA 98801-3370 | 2005-06-24 |
| 1831734961 | Lisa Irene Petersen | Occupational Therapist | 125 Middletown Rd, Waterford, NY 12188-1516 | 2019-11-13 |
| 1942704127 | Lisa Petersen | Counselor | 1138 Pine St, Burlington, VT 05401-5353 | 2018-03-21 |
| 1982917209 | Lisa R Petersen | Optometrist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2010-07-15 |
| 1699813923 | Lisa Petersen | Psychologist | 601 University Ave, Suite #225, Sacramento, CA 95825-6775 | 2007-02-01 |
| Street Address |
801 HARMONY ST SUITE 302 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196045 | Gastroenterology Consultants PC | Internal Medicine | 801 Harmony St, Suite 201, Council Bluffs, IA 51503-3106 | 2006-06-01 |
| 1598217119 | Christina J Crawford | Clinical Nurse Specialist | 801 Harmony St, Suite 302, Council Bluffs, IA 51503 | 2016-10-31 |
| 1902299779 | Laura Howe | Nurse Practitioner | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2015-03-18 |
| 1609156587 | Candella A Foley-finchem | Social Worker | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2011-08-23 |
| 1265731335 | Dannette S Eveloff | Nurse Practitioner | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2011-03-15 |
| 1851606214 | Joyce Nebgen | Counselor | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2010-08-10 |
| 1750613618 | Luris Cecilia De Calero | Family Medicine | 801 Harmony St, Medical Building Two Suite 401, Council Bluffs, IA 51503-3106 | 2010-02-03 |
| 1891927430 | Harmit Singh | Psychiatry & Neurology | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2009-08-16 |
| 1982842027 | Melanie Jo Wells | Social Worker | 801 Harmony St, Council Bluffs, IA 51503-3106 | 2009-01-28 |
| 1386899938 | Lynda K Karley | Social Worker | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2008-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1295209146 | Heartland Family Service | Counselor | 1415 Avenue J, Council Bluffs, IA 51501-1168 | 2019-01-14 |
| 1669904421 | Heartland Family Service | Counselor | 208 S 25th St, Council Bluffs, IA 51501-3617 | 2017-03-31 |
| 1376850016 | Grant Thomas Willms | Counselor | 20 Frank St, Council Bluffs, IA 51503-4460 | 2010-09-01 |
| 1093982118 | Brenda L Ticknor | Counselor | 427 E. Kanesville Blvd., Suite 308, Council Bluffs, IA 51503-4499 | 2008-05-08 |
| 1982639050 | Deborah Ann Grund | Counselor | 102 W Broadway Ste 201, Council Bluffs, IA 51503-4311 | 2006-07-11 |
| 1457978397 | Grace Meissner | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2020-06-26 |
| 1801422456 | Heather Reikofski | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2020-03-16 |
| 1699316745 | Meliss Luce | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2019-09-30 |
| 1972156313 | Eliot Pozehl | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2019-07-23 |
| 1801458815 | Aunna Strutzenberg | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2019-07-01 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on LISA M PETERSEN.
| 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.