CYNTHIA LEE PETERS (NPI# 1548259658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548259658 |
| Entity Type | Individual |
| Full Name | CYNTHIA LEE PETERS |
| Other Name | CYNTHIA LEE DESTICHE |
| Credential | PHD |
| Practice Address |
416 W South St Oconomowoc WI 53066-2755 |
| Practice Telephone | 2625677673 |
| Practice Fax Number | 2625673097 |
| Mailing Telephone | 2625677673 |
| Mailing Fax Number | 2625673097 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39343100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474896 | Cynthia Elizabeth Peters | Licensed Psychiatric Technician | 9140 Whittier Blvd, Pico Rivera, CA 90660-2444 | 2007-02-14 |
| 1366504144 | Cynthia Jane Peters | Nurse Practitioner | 2100 Lynnhaven Pkwy Ste 201, Virginia Beach, VA 23456-1492 | 2006-12-15 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| 1760575856 | Cynthia M Peters | Counselor | 7105 Sw 34th Ave Ste F, Amarillo, TX 79109-2904 | 2006-10-02 |
| 1699771659 | Cynthia Ann Peters | Registered Nurse | 3817 E Windsong Dr, Phoenix, AZ 85048-7916 | 2005-06-23 |
| 1497237192 | Cynthia Peters | Behavior Technician | 7607 Fern Ave, Shreveport, LA 71105-5739 | 2018-08-30 |
| 1750833588 | Cynthia Peters | Occupational Therapist | 8825 Eager Rd, Saint Louis, MO 63144-1205 | 2016-10-27 |
| 1700934213 | Cynthia Young Peters | Counselor | 900 North Shore Dr, Suite 106, Lake Bluff, IL 60044-2243 | 2007-01-08 |
| Street Address |
416 W SOUTH ST |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592095 | Maejeanne Fancher | Social Worker | 416 W South St, Oconomowoc, WI 53066-2755 | 2005-10-20 |
| 1235128356 | South Street Clinic LLC | Psychologist | 416 W South St, Oconomowoc, WI 53066-2755 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
| 1477187136 | Jennie Marie Lepien | Counselor | 175 E Wisconsin Ave Ste H, Oconomowoc, WI 53066-3057 | 2020-03-02 |
| 1316243496 | Stephanie Scheiber | Counselor | 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 | 2011-02-07 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1598230484 | James H Hishmeh Jr. | Counselor | 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 | 2018-10-08 |
| 1831614049 | Joanne M Berthelsen | Counselor | 1230 Corporate Center Dr, Oconomowoc, WI 53066-4883 | 2017-08-08 |
| 1255675112 | Deborah J Klecker | Counselor | 970 S Silver Lake St, Suite #103, Oconomowoc, WI 53066-3802 | 2012-11-15 |
| 1437469061 | Kim Hannan | Counselor | 888 Thackeray Trl, Suite 105, Oconomowoc, WI 53066-4342 | 2010-10-16 |
| 1073727640 | Debra A Adamus | Counselor | 418 E Wisconsin Ave, Oconomowoc, WI 53066 | 2007-05-10 |
| 1124031661 | Sandy L Swords | Counselor | 888 Thackeray Trl, Oconomowoc, WI 53066-4342 | 2006-08-15 |
| Find all providers in OCONOMOWOC | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on CYNTHIA LEE PETERS.
| 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.