MR. MATTHEW LEIF PETERSON (NPI# 1689124430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689124430 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW LEIF PETERSON |
| Credential | LPC |
| Practice Address |
2512 Hunters Run Dr Plano TX 75025-4768 |
| Practice Telephone | 8577192135 |
| Mailing Telephone | 8577192135 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
73142 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1508039777 | Matthew S. Peterson | Chiropractor | 103 N. 1st Street, Elma, WA 98541-0656 | 2008-04-09 |
| 1972683340 | Matthew C Peterson | Dentist | 4729 Swift Rd, Sarasota, FL 34231-6433 | 2006-10-17 |
| 1902993629 | Matthew J Peterson | Dentist | 135 Opportunity S Blvd, Cambridge, MN 55008 | 2006-10-06 |
| 1326011891 | Matthew Wade Peterson | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2006-02-07 |
| 1891785606 | Matthew R Peterson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2005-10-24 |
| 1336747369 | Matthew Peterson | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-12 |
| 1164041505 | Matthew Jon Peterson | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-15 |
| Street Address |
2512 HUNTERS RUN DR |
| City | PLANO |
| State | TX |
| Zip Code | 75025-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342764 | Linda R Qualia | Counselor | 2301 Felicia Dr, Plano, TX 75074-3404 | 2020-09-28 |
| 1922612902 | Laurie Laman | Counselor | 3421 Nancy Ct, Plano, TX 75023-1108 | 2020-09-07 |
| 1356953400 | Eric Wooten | Counselor | 6317 Glenhollow Dr, Plano, TX 75093-7908 | 2020-08-20 |
| 1619586104 | Judy Patricia Clark | Counselor | 2809 Regal Rd # 110, Plano, TX 75075-6317 | 2020-07-30 |
| 1336766591 | Debra Patricia Brigandi | Counselor | 1400 Preston Rd., 4th Floor, Plano, TX 75093-5186 | 2020-07-02 |
| 1033748470 | Michele Buckner | Counselor | 3412 Flat Creek Dr, Plano, TX 75025-5873 | 2020-04-07 |
| 1447890025 | Jasia Sajjad | Counselor | 7800 Preston Rd Ste 138, Plano, TX 75024-3240 | 2020-01-10 |
| 1063067676 | Amber Kwesie | Counselor | 704 E 15th St Ste 205, Plano, TX 75074-5712 | 2019-08-09 |
| 1407401573 | Acuity Tms of Plano | Counselor | 101 E Park Blvd Ste 360, Plano, TX 75074-8821 | 2019-08-06 |
| 1639723752 | Katy Alaniz | Counselor | 2033 Midcrest Dr, Plano, TX 75075-8542 | 2019-07-26 |
| Find all providers in PLANO | ||||
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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.