JERI L PETERSEN (NPI# 1619199205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619199205 |
| Entity Type | Individual |
| Full Name | JERI L PETERSEN |
| Credential | LPC |
| Practice Address |
200 Tarpon Trl Jacksonville NC 28546-5287 |
| Practice Telephone | 9109381114 |
| Mailing Telephone | 9109381114 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6492 | NC | Behavioral Health & Social Service Providers |
| Street Address |
200 TARPON TRL |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643151 | Antonio Cusi | Psychiatry & Neurology | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2005-10-17 |
| 1174123541 | Weston Blake Mills | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-10-27 |
| 1801411707 | Marisa T Nieves | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-06-16 |
| 1043854631 | Emily Moreland | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-11-06 |
| 1699316026 | Rebecca Sinnett Shepherd | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-10-07 |
| 1225686520 | Felix Raphael Rivera | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-29 |
| 1568018182 | Stephanie J Garcia | Counselor | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-11 |
| 1235781022 | Ashley Covington-wright | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1770135519 | Robert Lee Wilder Jr. | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1720640311 | Mary Elizabeth Feinour | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on JERI L PETERSEN.
| 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.