HAEDEN PEASLEE (NPI# 1306224720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306224720 |
| Entity Type | Individual |
| Full Name | HAEDEN PEASLEE |
| Credential | LMHC #11069 |
| Practice Address |
17 Innerbelt Rd Somerville MA 02143 |
| Mailing Address |
17 Innerbelt Rd Somerville MA 02143-4418 |
| Practice Telephone | 6173562579 |
| Mailing Telephone | 6173562579 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LMHC BOARD | 11069 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 780 American Legion Hwy, Roslindale, MA 021313908 | 6173562579 | |
| 17 Innerbelt Rd, Somerville, MA 02143 | 6173562579 |
| Street Address |
17 INNERBELT RD |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152825 | Brittany Jo Nozolino | Marriage & Family Therapist | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2014-03-20 |
| 1386242774 | Mairead Alina Miszkiewicz | Student in an Organized Health Care Education/Training Program | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2020-10-16 |
| 1477150274 | Katie Serwa | Student in an Organized Health Care Education/Training Program | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2020-10-05 |
| 1235747023 | Hannah Alsup | Student in an Organized Health Care Education/Training Program | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2020-07-17 |
| 1700426764 | Samantha Mcallister | Marriage & Family Therapist | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2020-01-08 |
| 1841835410 | Yahnissi Ndukwe Stoler | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-11-07 |
| 1669017224 | Jamie Williamson | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-11-07 |
| 1568005890 | Wilson Jesus | Counselor | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-10-18 |
| 1841831815 | Nalsy Gisseth Buenaventura | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-10-01 |
| 1982245957 | Sarah Curless | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1689282931 | Casey Mulchay | Counselor | 24 Whipple St Apt 2, Somerville, MA 02144-2563 | 2020-07-22 |
| 1942853171 | Grace Healey | Counselor | 115 Highland Ave Apt 15, Somerville, MA 02143-1621 | 2019-07-17 |
| 1437630423 | Margaret Mcarevey Pricejones | Counselor | 30 Sycamore St Apt 2, Somerville, MA 02143-1225 | 2018-08-27 |
| 1548751001 | Jessica Adam | Counselor | 657 Somerville Ave, Somerville, MA 02143-3264 | 2018-05-21 |
| 1609384601 | Priscila Gomes Godoi | Counselor | 422 Mystic Ave Apt 208, Somerville, MA 02145-1941 | 2018-01-12 |
| 1013420405 | Christine Kathleen Mcquade | Counselor | 259 Elm St Fl 3, Somerville, MA 02144-2950 | 2017-11-08 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1184149072 | Whitney Hoke | Counselor | 10 Roberts St Apt 20, Somerville, MA 02145-2553 | 2017-08-11 |
| 1497296354 | Cepideh Ramezany | Counselor | 148 Broadway, Unit 3, Somerville, MA 02145-3275 | 2017-03-12 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on HAEDEN PEASLEE.
| 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.