PETER KINGSLEY (NPI# 1679069843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679069843 |
| Entity Type | Individual |
| Full Name | PETER KINGSLEY |
| Practice Address |
531 Bryden Ave Lewiston ID 83501-4438 |
| Practice Telephone | 2087981646 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW-39304 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14615066 | 01 |
| Street Address |
531 BRYDEN AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386778959 | Sequoia Counseling Services, Inc. | Community/Behavioral Health | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2007-03-15 |
| 1437694932 | Kristen Trottier | Social Worker | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2016-12-20 |
| 1932566486 | Gerald Thomas Kurdy | Social Worker | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2016-01-27 |
| 1447657432 | Michael J Lape | Social Worker | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2014-11-19 |
| 1184059644 | Molly Renee Tucker | Social Worker | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2013-09-03 |
| 1154756617 | Kathryn M Duman | Social Worker | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2013-09-03 |
| 1699032839 | Crystal Paul | Counselor | 531 Bryden Ave, Lewiston, ID 83501-0308 | 2012-04-12 |
| 1457632556 | Catherine Marie Staab | Counselor | 531 Bryden Ave, Lewiston, ID 83501 | 2011-09-01 |
| 1699916833 | Lillian Francine Caradine | Counselor | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2009-03-18 |
| 1396986709 | Brenda Mckenzie | Counselor | 531 Bryden Ave, Lewiston, ID 83501-4438 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550108 | Jasmine Dawn Hussey | Social Worker | 17 Cram Ave Apt 3, Lewiston, ME 04240-3750 | 2020-05-26 |
| 1124650106 | Summer Overberg | Social Worker | 908 Idaho St, Lewiston, ID 83501-1937 | 2020-02-07 |
| 1922665173 | Shana Wallace | Social Worker | 150 South Ave # 2, Lewiston, ME 04240-5759 | 2019-05-23 |
| 1407336746 | Kelsey Wilcox | Social Worker | 37 Park St Ste 203, Lewiston, ME 04240-7195 | 2018-08-16 |
| 1003301680 | Serenity Treatment LLC | Social Worker | 1229 Main St Ste 101, Lewiston, ID 83501-6901 | 2018-06-26 |
| 1053830299 | Rebecca Baker | Social Worker | 37 Park St Ste 201, Lewiston, ME 04240-7196 | 2017-09-19 |
| 1043660343 | Heath B Walters | Social Worker | 504 Main St Ste 470, Lewiston, ID 83501-1806 | 2016-06-16 |
| 1700253614 | Eric Stephen Esty | Social Worker | 35 Westminster St, Lewiston, ME 04240-3531 | 2015-08-26 |
| 1205213857 | Brandon Mcintosh | Social Worker | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2015-05-04 |
| 1285026229 | Lauren Nichols | Social Worker | 1310 9th Ave, Lewiston, ID 83501-3104 | 2015-02-27 |
| Find all providers in LEWISTON | ||||
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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.