TRACY PETERSON


Address: 614 N 3rd Ave, Wausau, WI 54401-2913
Phone: 7158483031

TRACY PETERSON (NPI# 1134136419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134136419
Entity Type Individual
Full Name TRACY PETERSON
Credential LPC
Practice Address 614 N 3rd Ave
Wausau
WI 54401-2913
Practice Telephone 7158483031
Mailing Telephone 7158483031
Enumeration Date 2006-08-01
Last Update Date 2007-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3295-125 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 43590200 05

Other Providers TRACY PETERSON

NPI Name Taxonomy Address Enumeration
1205245727 Tracy Peterson Jr. Community Health Worker 833 Greenville Rd Ne, Bristolville, OH 44402-9767 2014-08-08
1013356369 Tracy Peterson Registered Nurse 116 N 6th St, Madison, WI 53704-4935 2013-06-20
1093167165 Tracy Peterson Physical Therapy Assistant 500 Harvard St Se, Mayo 450/ Mmc 106, Minneapolis, MN 55455-0363 2016-07-12
1619058740 Tracy M Peterson Nurse Practitioner 2901 W Kinnickinnic River Pkwy, #102, Milwaukee, WI 53215-3677 2006-10-17
1669563136 Tracy Peterson Physician Assistant 1770 Motor Pkwy, Islandia, NY 11749-5260 2006-09-27
1588652440 Tracy L. Peterson Nurse Anesthetist, Certified Registered 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 2005-10-13

Office Location

Street Address 614 N 3RD AVE
City WAUSAU
State WI
Zip Code 54401-2913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104855279 Associated Counseling Services, Inc. Psychologist 614 N 3rd Ave, Suite A, Wausau, WI 54401-2913 2006-07-01
1982614152 Barbara J Lonsdorf Counselor 614 N 3rd Ave, Suite A, Wausau, WI 54401-2913 2006-08-09
1619987831 Elizabeth S Cameron Social Worker 614 N 3rd Ave, Suite A, Wausau, WI 54401-2913 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031464 Central Wisconsin Endodontic Specialists LLC Dentist 2606 Stewart Avenue, #102, Wausau, WI 54401 2020-07-23
1376161976 Family Foot and Ankle Clinic LLC Podiatrist 1901 Westwood Boulevard, Wausau, WI 54401 2020-07-09
1336701895 Amy Kluetz Counselor 3000 Westhill Drive, Suite 100, Wausau, WI 54401 2019-07-05
1437640877 Joseph T Fitz Student in an Organized Health Care Education/Training Program Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 2018-05-22
1699293241 Amanda Nedd Dietitian, Registered 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 2017-09-05
1396287447 Dee Cha Nurse Anesthetist, Certified Registered 4851 Rachel Ln Apt 5, Wausau, WI 54401 2016-11-07
1013389618 Grace Lutheran Foundation Inc Skilled Nursing Facility 2727 Plaza Dr., Wausau, WI 54401 2015-10-22
1881091163 Judy Lao Dental Hygienist 413 North 17th Avenue, Wausau, WI 54401 2014-12-02
1295012011 Allison Waraksa Pharmacist 504 S. 17th Ave, Wausau, WI 54401 2011-11-08
1881974053 Walgreen Co Durable Medical Equipment & Medical Supplies 504 S 17th Ave, Wausau, WI 54401 2011-08-19
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336701895 Amy Kluetz Counselor 3000 Westhill Drive, Suite 100, Wausau, WI 54401 2019-07-05
1740796762 True North Counseling, LLC Counselor 500 N 3rd St Ste 208-3&4, Wausau, WI 54403-4885 2017-12-28
1023538824 Ann Marie Dixon Counselor 500 N 3rd St # 208-34, Wausau, WI 54403-4885 2017-06-22
1205242245 Elizabeth Krueger Counselor 520 N 28th Ave Ste 200, Wausau, WI 54401-4101 2014-07-10
1376983676 Jacqueline J Streveler Counselor 741 N First St, Wausau, WI 54403 2013-07-01
1912204884 Curt Edward Clausen Counselor 707 1/2 N 2nd Ave, Wausau, WI 54401-2963 2011-02-11
1598093221 Andrew Edward Cameron Counselor 530 Grant St, Wausau, WI 54403-4738 2009-11-18
1851626816 Karyn Lynn Mehringer Counselor 5426 Arbor Ct, Wausau, WI 54401-8079 2009-10-08
1104066687 Jolene V Nowak Counselor 627 Jackson St, Wausau, WI 54403-5550 2009-02-24
1952421117 Amy L Marcott Counselor 1202 Callon St, Wausau, WI 54402-1702 2007-03-30
Find all providers in WAUSAU

Competitor

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City WAUSAU
Zip Code 54401

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Dataset Information

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.

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