DEANDREA PETERSON (NPI# 1588124416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588124416 |
| Entity Type | Individual |
| Full Name | DEANDREA PETERSON |
| Credential | ALC |
| Practice Address |
994 Andrews Ave Ozark AL 36360-3758 |
| Mailing Address |
303 Boyce Rd Dothan AL 36305-8407 |
| Practice Telephone | 3346554522 |
| Practice Fax Number | 3344600899 |
| Mailing Telephone | 3346554522 |
| Mailing Fax Number | 3344600899 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C3271A | AL | Behavioral Health & Social Service Providers |
| Street Address |
994 ANDREWS AVE |
| City | OZARK |
| State | AL |
| Zip Code | 36360-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385275 | Amy Mellinger | Counselor | 994 Andrews Ave, Ozark, AL 36360-3758 | 2018-02-09 |
| 1659831543 | Katherine Herring | Counselor | 994 Andrews Ave, Ozark, AL 36360-3758 | 2019-03-25 |
| 1265932628 | Arch Counseling, LLC | Counselor | 994 Andrews Ave, Ozark, AL 36360-3758 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871132886 | Daphne Dufrene Wilde | Counselor | 134 Katherine Ave, Ozark, AL 36360-1973 | 2019-12-23 |
| 1336783125 | Jennifer Warren | Counselor | 127 S Court Sq, Ozark, AL 36360-0401 | 2019-11-05 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1437294295 | Jerry Thomas Traylor | Counselor | 1401 S 13th St, Ozark, MO 65721-8096 | 2007-02-20 |
| 1982688495 | Joan Marie Hawkins | Counselor | 445 E South Street, Ozark, MO 65721 | 2005-11-30 |
| 1659831543 | Katherine Herring | Counselor | 994 Andrews Ave, Ozark, AL 36360-3758 | 2019-03-25 |
| 1669969374 | Samantha Dansby | Counselor | 1566a Andrews Ave, Ozark, AL 36360-3718 | 2018-04-18 |
| 1770667461 | Ron L Stoops | Counselor | 4699 N 21st St, Ozark, MO 65721-7684 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1396351433 | Ashley Brook Loftis | Counselor | 2834j Pelham Pkwy, Pelham, AL 35124-1707 | 2020-09-22 |
| 1003420563 | Ellis Bernstein | Counselor | 3336 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2020-09-02 |
| 1508479064 | Rochelle Peterson | Counselor | 711 Halcyon Park Dr Suite B, Montgomery, AL 36117-7714 | 2020-08-25 |
| 1619589603 | New Vision Counseling, Inc | Counselor | 1470 N Bank Pkwy Ste 166, Tuscaloosa, AL 35406-2448 | 2020-08-20 |
| 1376153890 | Mckenzie Counseling Services LLC. | Counselor | 2300 Raintree Ct Apt E, Center Point, AL 35215-3624 | 2020-08-10 |
| 1821607656 | Kylie Grethen Howell | Counselor | 300 Office Park Dr Ste 205, Mountain Brk, AL 35223-2473 | 2020-07-28 |
| 1568071801 | Laura Taylor Stisher | Counselor | 101 Lowe Ave Se, Huntsville, AL 35801-4236 | 2020-07-22 |
| 1932717378 | Jessica Epperson | Counselor | 3055 Lorna Rd Ste 200, Vestavia Hills, AL 35216-4513 | 2020-07-22 |
| 1245858885 | Keshawna Swinton | Counselor | 300 Columbia Hwy, Dothan, AL 36301-1726 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.