AMANDA JO PETERSON (NPI# 1154857993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154857993 |
| Entity Type | Individual |
| Full Name | AMANDA JO PETERSON |
| Credential | LLPC |
| Practice Address |
6728 Vining Rd Greenville MI 48838-9784 |
| Mailing Address |
Po Box 1767 Grand Rapids MI 49501-1767 |
| Practice Telephone | 6162258220 |
| Practice Fax Number | 6162258226 |
| Mailing Telephone | 6162352090 |
| Mailing Fax Number | 6162352099 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401014778 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1891230710 | Amanda Kay Peterson | Chiropractor | 421 Front St S, Barnesville, MN 56514-3656 | 2017-01-01 |
| 1528420486 | Amanda Peterson | Counselor | 9580 W Reno Ave, Unit 111, Las Vegas, NV 89148-1710 | 2016-03-22 |
| 1427467828 | Amanda Jean Peterson | Physical Therapist | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2014-08-11 |
| 1528328275 | Amanda Peterson | Dietitian, Registered | 25 Courtenay Drive, Suite 7100a Msc 290, Medical University of South Carolina, Charleston, SC 29425 | 2012-05-29 |
| 1922605641 | Amanda Peterson | Physical Therapist | 140 S Main St, Saint Albans, VT 05478-1895 | 2020-10-06 |
| 1245851575 | Amanda Lynn Peterson | Pharmacist | 2001 Court Ave, Chariton, IA 50049-1955 | 2020-04-28 |
| 1396371100 | Amanda Mae Peterson | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-03-13 |
| 1982235354 | Amanda Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-04 |
| 1659939320 | Amanda Lee Peterson | Behavior Technician | 245 1st St, Cambridge, MA 02142-1200 | 2019-05-29 |
| Street Address |
6728 VINING RD |
| City | GREENVILLE |
| State | MI |
| Zip Code | 48838-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461428 | Chad M Campbell | Social Worker | 6728 Vining Rd, Greenville, MI 48838-9784 | 2006-08-30 |
| 1114526456 | Wendy E Baty | Counselor | 6728 Vining Rd, Greenville, MI 48838-9784 | 2020-10-19 |
| 1801322300 | Jan Parmenter | Social Worker | 6728 Vining Rd, Greenville, MI 48838-9784 | 2017-05-04 |
| 1124577424 | Commnity Hope Christian Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 6728 Vining Rd, Greenville, MI 48838-9784 | 2016-09-27 |
| 1730550641 | Jamie L Murray | Social Worker | 6728 Vining Rd, Greenville, MI 48838-9784 | 2015-10-19 |
| 1396124582 | Jeffrey Hill | Counselor | 6728 Vining Rd, Greenville, MI 48838-9784 | 2015-05-21 |
| 1487042917 | Aimee F Long | Counselor | 6728 Vining Rd, Greenville, MI 48838-9784 | 2015-01-06 |
| 1588068449 | Martin Lund | Social Worker | 6728 Vining Rd, Greenville, MI 48838-9784 | 2014-10-21 |
| 1558790501 | David Sullivan | Counselor | 6728 Vining Rd, Greenville, MI 48838-9784 | 2013-11-09 |
| 1245670470 | Esther M Combs | Counselor | 6728 Vining Rd, Greenville, MI 48838-9784 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
| 1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
| 1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
| 1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
| 1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
| 1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
| 1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
| Find all providers in zip 48838 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 48838 |
Please comment or provide details below to improve the information on AMANDA JO 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.