MR. KEVIN LEE PETERSEN


Address: 401 16th St Se, Rochester, MN 55904-7973
Phone: 5073154184

MR. KEVIN LEE PETERSEN (NPI# 1578759270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578759270
Entity Type Individual
Full Name MR. KEVIN LEE PETERSEN
Credential LMHC
Practice Address 401 16th St Se
Rochester
MN 55904-7973
Practice Telephone 5073154184
Practice Fax Number 5075160031
Mailing Telephone 5073154184
Mailing Fax Number 5075160031
Enumeration Date 2007-09-18
Last Update Date 2020-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
00399 IA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
LP6513 MN Behavioral Health & Social Service Providers

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1255861126 Kevin Scott Petersen Physical Therapist 3160 8th St Sw Ste M&n, Altoona, IA 50009-1023 2017-06-14
1356676290 Kevin Leon Petersen Psychologist 6439 Garners Ferry Road, Wjbd Va Medical Center, Columbia, SC 29209 2009-10-09
1851414346 Kevin E. Petersen Chiropractor 29 Lake St S, Big Lake, MN 55309-4588 2007-04-09
1205971066 Kevin Petersen Specialist 653 N Town Center Dr, Las Vegas, NV 89144-0514 2007-02-20

Office Location

Street Address 401 16TH ST SE
City ROCHESTER
State MN
Zip Code 55904-7973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114991361 Kimberly E Henderson Nurse Practitioner 401 16th St Se, Rochester, MN 55904-7973 2006-02-15
1548771975 Britne Weiher Social Worker 401 16th St Se, Rochester, MN 55904-7973 2017-10-12
1003211400 Lacy Osborne Social Worker 401 16th St Se, Rochester, MN 55904-7973 2014-10-28
1609208826 Chad Evans Larson Dentist 401 16th St Se, Rochester, MN 55904-7973 2013-07-30
1790983161 Richard L Sprague Social Worker 401 16th St Se, Rochester, MN 55904-7973 2007-07-06
1275667123 Arnold J Hill Dentist 401 16th St Se, Rochester, MN 55904-7973 2007-03-15
1891829669 Ta Guenthner, Dds Msd and Be Larson, Dds, Ms, Pa Clinic/Center 401 16th St Se, Rochester, MN 55904-7973 2007-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558912303 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 1200 Eastgate Drive S.e., Rochester, MN 55904 2019-09-24
1952954992 Jane Yaakni Hopaki Midwife 1224 Eastgate Dr Se, Rochester, MN 55904 2019-07-18
1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1699215988 Maximus Language Resources Interpreter 1775 3rd Ave Se, Rochester, MN 55904 2017-03-06
1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
1932473105 Michelle Lee Sather Counselor 343 Woodlake Drive Se, Rochester, MN 55904 2012-03-05
1538453022 Amy M Carey Social Worker 40 16th Street Sw, Suite D, Rochester, MN 55904 2011-06-02
1396059895 Lisa Marie Bingham Optometrist 111 S. Broadway, Rochester, MN 55904 2010-07-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346883873 Denise Pine Psychologist 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 2019-10-28
1205305729 Christopher Corona Psychologist 100 Linden Oaks, Suite 102, Rochester, NY 14625 2018-11-14
1275017550 Leah Rothschild Psychologist 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 2018-09-21
1639658693 Garry Linsis Spink Jr. Psychologist 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 2018-08-10
1942798129 Rachel Marie Rodorigo Psychologist 900 W University Dr Ste B3, Rochester, MI 48307-1817 2018-04-24
1740799162 Douglas Andrew Raynor Psychologist 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 2017-09-28
1356861884 Lauren P Wadsworth Psychologist 21 Goodway Dr, Rochester, NY 14623-3029 2017-06-26
1881120947 Dayton Walsh Psychologist 190 Goodman St S, Rochester, NY 14607-2651 2017-05-11
1770019713 Brenna Cavanaugh Psychologist 200 East River Rd., Rochester, NY 14623 2017-05-11
1275068470 Tara Marie Augenstein Psychologist University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 2017-04-25
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Competitor

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City ROCHESTER
Zip Code 55904

Improve Information

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Dataset Information

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.

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