AMY PETERSON (NPI# 1679110779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679110779 |
| Entity Type | Individual |
| Full Name | AMY PETERSON |
| Credential | LPC-IT |
| Practice Address |
6233 Durand Ave Ste F Mount Pleasant WI 53406-4961 |
| Mailing Address |
6905 Bobolink Rd Racine WI 53402-1344 |
| Practice Telephone | 2625548165 |
| Mailing Telephone | 2622217200 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4510226 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6233 Durand Ave Ste F, Mount Pleasant, WI 534064961 | 2625548165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1841742137 | Amy Marie Peterson | Health Educator | 31 Fair St, Cold Spring, NY 10516-3005 | 2016-11-02 |
| 1295289023 | Amy Renee Peterson | Specialist | 121 Casey St, Campbellsville, KY 42718-6858 | 2016-08-10 |
| 1699017764 | Amy S Peterson | Lactation Consultant, Non-RN | 805 4th Ave Dr, Jerome, ID 83338-2104 | 2013-03-26 |
| 1598011843 | Amy Kathleen Peterson | Speech-Language Pathologist | 3515 Central Ave, Cheyenne, WY 82001-1320 | 2012-07-24 |
| 1760757744 | Amy A Peterson | Speech-Language Pathologist | 4501 Coleman St Ste 103, Bismarck, ND 58503-0996 | 2012-03-09 |
| 1073834446 | Amy Peterson | Doula | 5 Pendexter Rd, Durham, NH 03824-2108 | 2010-06-19 |
| 1316180441 | Amy Adelle Peterson | Licensed Practical Nurse | 4762 Ventura Dr, Toledo, OH 43615-6134 | 2009-04-20 |
| 1770600702 | Amy Lynn Peterson | Occupational Therapist | 611 St Joseph Ave, St Joseph's Hospital, Marshfield, WI 54449-8341 | 2007-03-23 |
| 1285658971 | Amy Sue Peterson | Physical Therapist | 18430 Harvest Meadows Dr W, Westfield, IN 46074-9122 | 2006-07-26 |
| Street Address |
6233 DURAND AVE STE F |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1114547148 | Sydney Rae Davis | Counselor | 307 E Michigan St, Mount Pleasant, MI 48858-2641 | 2020-04-20 |
| 1114561255 | Thorington Counseling Services Pllc | Counselor | 122 N Lansing St, Mount Pleasant, MI 48858-1632 | 2019-11-01 |
| 1891271292 | Katarzyna Ciszewski | Counselor | 181 Bayfront Dr Unit 422, Mount Pleasant, SC 29464-1855 | 2018-07-18 |
| 1740797000 | Jessica Michelle Miller | Counselor | 1200 S Washington Street 139 Robinson, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1750817060 | Jennifer Giegler | Counselor | 113 W Broadway St Ste 115, Mount Pleasant, MI 48858-2556 | 2017-05-05 |
| 1699215798 | Steven Bard | Counselor | 3176 E Deerfield Rd, Apt 208, Mount Pleasant, MI 48858-4472 | 2017-03-08 |
| 1982142790 | Pamela Sue Myslivec | Counselor | 143 Cedar Dr, Mount Pleasant, MI 48858-9025 | 2017-02-01 |
| 1962947499 | Richard Tindall | Counselor | 887 Johnnie Dodds Blvd Ste 223, Mount Pleasant, SC 29464-3154 | 2016-12-19 |
| 1649712126 | Paula J Yost | Counselor | 5605 Highway 49, Mount Pleasant, NC 28124 | 2016-11-15 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on AMY PETERSON.
| 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.