JESSICA PETERS (NPI# 1508338229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508338229 |
| Entity Type | Individual |
| Full Name | JESSICA PETERS |
| Credential | LPC |
| Practice Address |
6549 Town Center Dr Ste A Clarkston MI 48346-4824 |
| Practice Telephone | 2486206400 |
| Practice Fax Number | 2486206405 |
| Mailing Telephone | 2486206400 |
| Mailing Fax Number | 2486206405 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401018211 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401016415 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S Linden Rd, Flint, MI 485329800 | 8109574310 | 8109574309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808322 | Jessica Lynn Peters | Licensed Practical Nurse | 699 Bruce Dr, Wantagh, NY 11793-1109 | 2019-12-12 |
| 1841854197 | Jessica Deann Peters | Driver | 309 Shadow Dr, Shelbyville, TN 37160-2513 | 2019-04-23 |
| 1013454479 | Jessica Peters | Occupational Therapist | 10224 Kelly Rd, Wapakoneta, OH 45895-9405 | 2017-01-24 |
| 1902214547 | Jessica Peters | Registered Nurse | 3887 Reeves Ln, Medina, OH 44256-7057 | 2014-07-28 |
| 1992834113 | Jessica Nicole Peters | Specialist/Technologist | 5589 Cheviot Rd, Cincinnati, OH 45247-7020 | 2007-03-05 |
| 1700428182 | Jessica Peters | Case Manager/Care Coordinator | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2019-10-17 |
| 1972078020 | Jessica Peters | Occupational Therapist | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2018-10-04 |
| 1346693983 | Jessica Peters | Registered Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2016-07-19 |
| 1952769671 | Jessica Peters | Social Worker | 300 Longwood Ave, Boston, MA 02115 | 2016-02-09 |
| 1891166195 | Jessica Peters | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109-5443 | 2015-10-13 |
| Street Address |
6549 TOWN CENTER DR STE A |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346258795 | Monica Sharrice Smith | Psychiatry & Neurology | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2006-08-03 |
| 1063013290 | Bradley David Winter | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-11-04 |
| 1750981577 | Irene Gwen Voss | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-10-30 |
| 1770183956 | Nicholas Lewan | Counselor | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-10-28 |
| 1124633755 | Gianna Petz | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-09-10 |
| 1235765041 | Gabrielle Wardlaw-pfaff | Counselor | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-03-13 |
| 1881225092 | Nikita Bhatnagar | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-01-28 |
| 1306476809 | Kathleen M Frybarger | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-01-23 |
| 1396384392 | Laura Conner | Counselor | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2019-12-23 |
| 1659919819 | Mayche Vang-kue | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285110288 | Abigail Blackshire | Counselor | 4850 Fox Crk E Apt 57, Clarkston, MI 48346-4924 | 2018-07-13 |
| 1427589092 | Tisha Hadaway | Counselor | 4002 E Ponce De Leon Ave, Clarkston, GA 30021-1815 | 2017-03-24 |
| 1649644253 | Doris Eva Mae Ward | Counselor | 5701 Bow Pointe Dr Ste 315, Clarkston, MI 48346-5402 | 2015-11-19 |
| 1164811980 | Huei-chen Cheng | Counselor | 6810 Brannon Hill Rd, Clarkston, GA 30021-3287 | 2015-01-16 |
| 1679972392 | Mariya Anatolyevna Zhitkov | Counselor | 7119 Oak Ridge Ct, Clarkston, MI 48346-1991 | 2014-08-19 |
| 1952671281 | Charles Ray Young | Counselor | 5840 Lorac Dr, Suite 3c, Clarkston, MI 48346-2915 | 2012-01-03 |
| 1083946248 | Jonathan Bruce Richey | Counselor | 6588 Northview Dr, Clarkston, MI 48346-1528 | 2010-02-12 |
| 1588857825 | Rebecca Jo Anastasi | Counselor | 10513 Wedgewood Dr, Clarkston, MI 48348-2065 | 2007-08-21 |
| 1679623185 | Veronica Smith | Counselor | 957 Texel Ln, Suite B, Clarkston, GA 30021-2736 | 2007-01-10 |
| 1801974217 | Sara Alice Fellows | Counselor | 3604 Clarkston Rd. Lake Orion Counseling Center, 3604 Clarkston Rd., Clarkston, MI 48316 | 2006-11-02 |
| Find all providers in CLARKSTON | ||||
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| 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.