RYAN PETERSON (NPI# 1124650395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124650395 |
Entity Type | Individual |
Full Name | RYAN PETERSON |
Credential | LPCC |
Practice Address |
3802a Grand Ave S Minneapolis MN 55409-1233 |
Practice Telephone | 6126431932 |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2327 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619354008 | Ryan Peterson | Hearing Instrument Specialist | 822 Mainstreet, Hopkins, MN 55343-7627 | 2015-05-05 |
1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
1245486307 | Ryan Thomas Peterson | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2008-08-08 |
1902864614 | Ryan Kent Peterson | Optometrist | 4401 E Sunset Rd, Suite 4, Henderson, NV 89014-0274 | 2006-05-02 |
1346237393 | Ryan Paul Peterson | Family Medicine | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2005-10-04 |
1952908600 | Ryan Peterson | Pharmacist | 50 W Techne Center Dr Ste J, Milford, OH 45150-9798 | 2020-10-06 |
1912434432 | Ryan Dean Peterson | Family Medicine | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | 2017-05-15 |
1841676764 | Ryan Peterson | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2015-08-03 |
1992188486 | Ryan Peterson | Behavioral Analyst | 5800 S Highland Dr, Salt Lake City, UT 84121-1359 | 2015-07-02 |
Street Address |
3802A GRAND AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55409-1233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528542487 | Dana Elkun | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2018-09-18 |
1104426725 | Kendelle Perkins | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-11-01 |
1356973598 | Kurt Thomas Pope | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629575493 | Twin Cities Music Therapy Services, LLC | Music Therapist | 3754 Pleasant Ave S., #105, Minneapolis, MN 55409 | 2018-04-09 |
1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
1093144750 | Nicole Pattee | Social Worker | 3751 Nicollet Ave, Minneapolis, MN 55409 | 2013-11-04 |
1598817678 | City of Minneapolis | Clinic/Center | 3131 19th Avenue South, Room 122, Minneapolis, MN 55409 | 2007-01-17 |
1366544587 | Robert C Shepherd | Chiropractor | 2415 Hennepin Ave S, Minneapolis, MN 55409 | 2006-09-01 |
1922563600 | Karlene Manitowich | Chiropractor | 3706 Nicollet Ave, Minneapolis, MN 55409 | 2019-02-06 |
1508385246 | Jessica Lynn Dahlton | Acupuncturist | 708 W 40th St, Minneapolis, MN 55409 | 2017-09-13 |
1508395575 | Daniel Scott Ronken | Counselor | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2017-06-05 |
1447538608 | Jonee Elizabeth Meagher | Optometrist | 4243 4th Ave S, Minneapolis, MN 55409 | 2011-07-21 |
1760532683 | Larry G Tucker | Marriage & Family Therapist | 310 E 38th St, Suite 320, Minneapolis, MN 55409 | 2007-01-11 |
Find all providers in zip 55409 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55409 |
Please comment or provide details below to improve the information on RYAN PETERSON.
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.