MRS. LORENE RENEE PETA (NPI# 1619253812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619253812 |
| Entity Type | Individual |
| Full Name | MRS. LORENE RENEE PETA |
| Credential | LPC |
| Practice Address |
2010 W Chester Pike Suite 314 Havertown PA 19083-2700 |
| Mailing Address |
1055 E Baltimore Pike Suite 300 Media PA 19063-5173 |
| Practice Telephone | 6108923800 |
| Practice Fax Number | 4844681412 |
| Mailing Telephone | 6108923800 |
| Mailing Fax Number | 4844681412 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC001204 | PA | Behavioral Health & Social Service Providers |
| Street Address |
2010 W CHESTER PIKE SUITE 314 |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130741 | Paul Ezell | Ophthalmology | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2005-08-09 |
| 1033762430 | Maria Anne Spano | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2019-07-24 |
| 1811363393 | Ashlee Eileen Geier | Physical Therapist | 2010 W Chester Pike, Suite 450, Havertown, PA 19083-2700 | 2015-08-19 |
| 1053715458 | Stephanie Bergey | Counselor | 2010 W Chester Pike, Ste 314, Havertown, PA 19083-2700 | 2014-10-14 |
| 1053734970 | Daniel Brown | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2014-01-28 |
| 1801143201 | Bai Dan | Mechanotherapist | 2010 W Chester Pike, #407, Havertown, PA 19083-2700 | 2012-08-06 |
| 1689949067 | Richard L Jahnle Md PC | Optometrist | 2010 W Chester Pike, Wellness Center; Suite 310, Havertown, PA 19083-2737 | 2012-03-19 |
| 1457636037 | Lll-usa Integrated Health Care Association | Clinic/Center | 2010 W Chester Pike, Suite 407, Havertown, PA 19083-2700 | 2011-10-14 |
| 1770896839 | Yu Jiang | Dentist | 2010 W Chester Pike, Suite 420, Havertown, PA 19083-2700 | 2010-07-19 |
| 1952542615 | Domenick Braccia D.o. | Clinic/Center | 2010 W Chester Pike, Suite 310, Havertown, PA 19083-2700 | 2009-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114466 | Amanda Thomson | Counselor | 1001 Darby Rd, Havertown, PA 19083-3818 | 2019-10-02 |
| 1699246561 | Judith Turner | Counselor | 1747 W Chester Pike Unit 16, Havertown, PA 19083-2936 | 2018-12-17 |
| 1679003727 | Edward Dixon IIi | Counselor | 1104 Allston Rd, Havertown, PA 19083-3816 | 2017-06-12 |
| 1104281971 | Carolyn Wolfe Dash | Counselor | 411 Earlington Rd, Havertown, PA 19083-5623 | 2015-12-22 |
| 1518255199 | Ruth Conboy | Counselor | 1480 Windsor Park Ln, Havertown, PA 19083-2706 | 2011-07-15 |
| 1669702924 | Abby Lynn Connor | Counselor | 141 David Drive, Havertown, PA 19083 | 2010-01-10 |
| 1750617270 | Hilary M Truong | Counselor | 222 S Manoa Rd, Havertown, PA 19083-3300 | 2009-10-19 |
| 1548412729 | Aaron Jay Rosenbloom | Counselor | 1417 Delmont Ave, Havertown, PA 19083-2627 | 2008-10-19 |
| 1821696535 | Angena Mombrun | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-10-14 |
| 1063010981 | Angel Tansy Lee Myers | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-10-13 |
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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.