MICHAEL PETERSEN (NPI# 1093182552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093182552 |
| Entity Type | Individual |
| Full Name | MICHAEL PETERSEN |
| Practice Address |
1067 E Tabernacle St Suite 7 Saint George UT 84770-3163 |
| Mailing Address |
6013 S Redwood Rd Taylorsville UT 84123-5220 |
| Practice Telephone | 8012555131 |
| Practice Fax Number | 8012555131 |
| Mailing Telephone | 8012555131 |
| Mailing Fax Number | 8012555131 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740602960 | Michael Petersen | Veterinarian | 5754 Nicollet Ave, Minneapolis, MN 55419-2415 | 2014-01-07 |
| 1407902307 | Michael James Petersen | Dentist | 3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072 | 2007-01-25 |
| 1881798379 | Michael Charles Petersen | Pediatrics | 12356 Riata Trace Pkwy # 6006-b, Austin, TX 78727-6417 | 2006-09-12 |
| 1629005160 | Michael R Petersen | Ophthalmology | 2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 | 2006-06-28 |
| 1467428656 | Michael S Petersen | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2006-02-27 |
| 1609849736 | Michael T Petersen | Anesthesiology | 25 Main Pl, Suite 425, Council Bluffs, IA 51503-0792 | 2006-02-09 |
| 1639785579 | Michael Lee Petersen | Pharmacist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-09-16 |
| 1780248146 | Michael Jake Petersen | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-04-30 |
| 1972746931 | Michael G Petersen | Physician Assistant | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5283 | 2009-04-07 |
| 1518974153 | Michael J Petersen | Podiatrist | 3922 Mercy Dr, Mchenry, IL 60050-3151 | 2006-08-02 |
| Street Address |
1067 E TABERNACLE ST SUITE 7 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407202336 | Camilla Cooper | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1598111494 | Kaylee Christensen | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1023464963 | Austin Campbell | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1922472802 | Quinn Jamison | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2015-11-16 |
| 1346505203 | Rebecca Miller Geranios | Registered Nurse | 1067 E Tabernacle St, Suite #7, Saint George, UT 84770-3163 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1598214140 | Kaylee Ockey | Counselor | 474 W 200 N, Saint George, UT 84770-4505 | 2016-09-23 |
| 1407202336 | Camilla Cooper | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1598111494 | Kaylee Christensen | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1023464963 | Austin Campbell | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2016-05-10 |
| 1922472802 | Quinn Jamison | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2015-11-16 |
| 1497136485 | Richard Kyle Hillyard | Counselor | 474 W 200 N, Saint George, UT 84770-4505 | 2015-06-15 |
| 1871935320 | Cleola Henrie Bess | Counselor | 474 W 200 N, Saint George, UT 84770-4505 | 2013-07-25 |
| 1215242789 | Samantha Renee' Kent | Counselor | 474 W 200 N, Saint George, UT 84770-4505 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213383 | Stephanie Heinhold | Counselor | 5934 W Bella Rosa Cv, Herriman, UT 84096-1791 | 2020-10-19 |
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1245846815 | Denielle Renee Johnson | Counselor | 944 N Main, Nephi, UT 84648-1002 | 2020-09-19 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1053959601 | Mckenzie Morgan | Counselor | 1240 E 100 S Bldg 22 #221, St George, UT 84790-3001 | 2019-12-13 |
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1467096537 | Mindy Jolene Wright | Counselor | 944 N Main St, Nephi, UT 84648-1002 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
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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.