MRS. MARY PETERSON (NPI# 1265963813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265963813 |
| Entity Type | Individual |
| Full Name | MRS. MARY PETERSON |
| Credential | LPC |
| Practice Address |
221 Loesch Dr Elgin TX 78621-1101 |
| Practice Telephone | 5127993076 |
| Mailing Telephone | 5127993076 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3765 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314908 | Mary Jane Peterson | Chore Provider | 1126 Marianna Dr, Mansfield, OH 44903-9672 | 2020-10-21 |
| 1598179434 | Mary Kathryn Peterson | Physical Therapist | 4690 Whipple Rd, Riverside, CA 92506-1066 | 2014-06-18 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1457564916 | Mary Beth Peterson | Pharmacist | Hy-vee Drugstore #7026, 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402 | 2007-05-08 |
| 1942429873 | Mary Ann Peterson | Physical Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-04-25 |
| 1538233176 | Mary Peterson | Chiropractor | 7250 W College Dr, Suite 1sw, Palos Heights, IL 60463-1151 | 2006-11-17 |
| 1083621445 | Mary E Peterson | Nurse Practitioner | W12070 State Highway 35, Stockholm, WI 54769-6127 | 2006-08-01 |
| 1174572846 | Mary E. Peterson | Psychiatry & Neurology | 105 W 8th Ave Ste 6055, Spokane, WA 99204-2312 | 2006-05-09 |
| 1306813548 | Mary L Peterson | Social Worker | 2040 Raybrook Se, Suite 103, Grand Rapids, MI 49546 | 2006-03-07 |
| 1346216678 | Mary C Peterson | Physical Therapist | 756 Ridge Lake Blvd, Ste 205, Memphis, TN 38120-9445 | 2006-02-27 |
| Street Address |
221 LOESCH DR |
| City | ELGIN |
| State | TX |
| Zip Code | 78621-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1114470267 | Michelle Hanh Ma | Optometrist | 1205 Highway 290 W, Elgin, TX 78621 | 2016-07-25 |
| 1336596493 | Anita Nepal Thapa | Dentist | 910 Lee Dildy Blvd, 260, Elgin, TX 78621 | 2016-05-18 |
| 1467826057 | Elgin Vision Pllc | Optometrist | 1205 W. Highway 290, Elgin, TX 78621 | 2015-11-19 |
| 1568868370 | Community Health Centers of South Central Texas Inc. | Clinic/Center | 711 W 10th St., Elgin, TX 78621 | 2014-11-06 |
| 1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
| 1396950655 | Robert Gerard Duhon | Acupuncturist | 1312 Hwy 290 W, Elgin, TX 78621 | 2007-05-11 |
| 1669598363 | Mary Forrest-wright | Counselor | 1501 Highway 290 W Ofc 1340, Elgin, TX 78621 | 2007-03-22 |
| 1811085350 | Carl Herring | Dentist | 306 N Hwy 95, Elgin, TX 78621 | 2006-10-10 |
| 1467555086 | Randy M Robertson | Dentist | 1309 N Ave C, Elgin, TX 78621 | 2006-09-07 |
| Find all providers in zip 78621 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949782 | Alexusia Dickerson | Counselor | 115 Catawba Hill Dr, Elgin, SC 29045-7140 | 2020-07-09 |
| 1902445075 | Eiliana M Silva | Counselor | 75 Market St Ste 12, Elgin, IL 60123-5061 | 2020-01-06 |
| 1093290124 | Nicholas W. Marchand | Counselor | 411 W River Rd, Elgin, IL 60123-1570 | 2018-09-25 |
| 1659855856 | Susan Virginia Raica | Counselor | 420 Wing Street,suite3, Elgin, IL 60123-6012 | 2018-09-24 |
| 1699221440 | Stanley Glenn Bell | Counselor | 101 W 1st St, Suite F, Elgin, TX 78621-2659 | 2016-08-31 |
| 1659753002 | Piper Stratton | Counselor | 2000 Larkin Ave Ste 202, Elgin, IL 60123-5879 | 2015-06-22 |
| 1679901508 | Meghan Elizabeth Barrett | Counselor | 1845 Grandstand Pl Ste 200, Elgin, IL 60123-4983 | 2013-11-01 |
| 1396089538 | Michaela Sasheva Long | Counselor | 2362 South St Apt E, Elgin, IL 60123-4600 | 2012-11-10 |
| 1427306042 | Eric Mitchell Porter | Counselor | 452 N Mclean Blvd, Elgin, IL 60123-3273 | 2012-08-29 |
| 1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
| Find all providers in ELGIN | ||||
Please comment or provide details below to improve the information on MRS. MARY 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.