KRISTA S PETERSEN (NPI# 1659782381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659782381 |
| Entity Type | Individual |
| Full Name | KRISTA S PETERSEN |
| Practice Address |
5691 S Redwood Rd #16 Taylorsville UT 84123-5420 |
| Practice Telephone | 8012653895 |
| Practice Fax Number | 8012361235 |
| Mailing Telephone | 8012653895 |
| Mailing Fax Number | 8012361235 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
UT | Behavioral Health & Social Service Providers |
| Street Address |
5691 S REDWOOD RD #16 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033186382 | Ted A Harris | Psychologist | 5691 S Redwood Rd, Taylorsville, UT 84123-5322 | 2006-03-07 |
| 1427690718 | Deanne Paulsen | Psychologist | 5691 S Redwood Rd, Taylorsville, UT 84123-5420 | 2019-10-08 |
| 1366860777 | Ariel Gonzales Psychiatric Np, Pllc | Clinic/Center | 5691 S Redwood Rd, Bldg 16, Ste 1b, Taylorsville, UT 84123-5420 | 2014-04-02 |
| 1952644692 | Sean Howard | Counselor | 5691 S Redwood Rd, Taylorsville, UT 84123-5420 | 2013-04-01 |
| 1922359355 | Samantha Beth Ann Harris | Student in an Organized Health Care Education/Training Program | 5691 S Redwood Rd, #16, Taylorsville, UT 84123-5420 | 2012-09-25 |
| 1891050563 | Veronica C Kasprzak | Social Worker | 5691 S Redwood Rd, Taylorsville, UT 84123-5420 | 2012-07-09 |
| 1639409089 | Ariel Henrie Gonzales | Registered Nurse | 5691 S Redwood Rd, Bldg. 16, Suite 1b, Taylorsville, UT 84123-5420 | 2010-01-07 |
| 1255518080 | Lani Kaina Haaheo Ete | Counselor | 5691 S Redwood Rd, Taylorsville, UT 84123-5420 | 2008-01-23 |
| 1538137328 | David A Dodgion | Psychologist | 5691 S Redwood Rd, Suite #15, Taylorsville, UT 84123-5322 | 2006-03-09 |
| 1043288830 | Miriam A Hansen | Counselor | 5691 S Redwood Rd, Suite #15, Taylorsville, UT 84123-5322 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666110 | Annie Jacobs | Counselor | 6210 S 3200 W, Taylorsville, UT 84129-6536 | 2019-12-20 |
| 1710520267 | Laura B Rodriguez | Counselor | 2880 W 4700 S Ste G1, Taylorsville, UT 84129-2156 | 2019-10-28 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1689198715 | Mind and Body Integration | Counselor | 4950 S 2475 W Ste 100, Taylorsville, UT 84129-1810 | 2017-07-31 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1346793999 | Shari Harwood Counseling | Counselor | 5681 S Redwood Rd Unit 24, Taylorsville, UT 84123-5484 | 2016-08-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1710354196 | Tina Annette Brady | Counselor | 6363 S Faust Way, Taylorsville, UT 84129-6359 | 2015-09-01 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1578825519 | Justin Dean Gough | Counselor | 2904 Midwest Dr, Taylorsville, UT 84129-2555 | 2012-06-14 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on KRISTA S 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.