PAUL WYNN PETERSON (NPI# 1699231472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699231472 |
| Entity Type | Individual |
| Full Name | PAUL WYNN PETERSON |
| Credential | LAMFT |
| Practice Address |
17 Folkingham Ln Bella Vista AR 72715-3042 |
| Mailing Address |
Po Box 5922 Bella Vista AR 72714-0922 |
| Practice Telephone | 5012607324 |
| Mailing Telephone | 5012607324 |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2019-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | F1811011 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134769979 | Paul Peterson | Non-emergency Medical Transport (VAN) | 4314 45th St N, Fargo, ND 58102-6915 | 2020-01-09 |
| 1013304500 | Paul Carlton Peterson | Home Health Aide | 712 4th St Ne, Washington, DC 20002-4316 | 2015-04-22 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1245498971 | Paul Stephen Peterson | Physician Assistant | 5731 Silverstone Ter Ste 100, Colorado Springs, CO 80919-3594 | 2008-05-29 |
| 1285752642 | Paul Arthur Peterson | Specialist/Technologist | 46400 Algonkian Pkwy, Potomac Falls, VA 20165-6487 | 2007-03-26 |
| 1528114667 | Paul Joseph Peterson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010-6092 | 2007-01-25 |
| 1194876672 | Paul Gabriel Peterson | Student in an Organized Health Care Education/Training Program | Wramc Department of Radiology, 6900 Georgia Ave. Nw, Bldg. 2, Washington, DC 20307-0001 | 2007-01-13 |
| 1972678993 | Paul Stanley Peterson | Chiropractor | 4616 El Camino Ave, Sacramento, CA 95821-6736 | 2006-11-22 |
| 1275646465 | Paul J Peterson | Social Worker | 102 Southend Dr, Dayton, NV 89403-7414 | 2006-08-15 |
| 1326013426 | Paul D Peterson | Family Medicine | 2600 Outer Dr N, Sioux City, IA 51104-1585 | 2006-02-22 |
| Street Address |
17 FOLKINGHAM LN |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558832410 | Jocelyn Peterson | Counselor | 17 Folkingham Ln, Bella Vista, AR 72715-3042 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| 1932165982 | Mountaincrest Rehab of Bella Vista, Inc. | Physical Therapist | 1801 Forest Hills Blvd, Ste #205, Bella Vista, AR 72715 | 2006-04-26 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| Find all providers in zip 72715 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347726 | Bethany Christian Services of Ak | Marriage & Family Therapist | 1100 N University Ave Ste 66, Little Rock, AR 72207-6300 | 2020-02-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1336512979 | Kerry Underwood | Marriage & Family Therapist | 5401 Rogers Ave, Suite 200, Fort Smith, AR 72903-3745 | 2015-11-04 |
| 1346618352 | Thrive Counseling Services | Marriage & Family Therapist | 105 E Arch Ave, Searcy, AR 72143-7705 | 2015-09-08 |
| 1528459419 | Lauren Mccoy | Marriage & Family Therapist | 701 N Walton Blvd Unit 6, Bentonville, AR 72712-4548 | 2015-02-12 |
| 1982017828 | Kelsey Ann Bennett | Marriage & Family Therapist | 306 S Charles St Apt 6, Searcy, AR 72143-6891 | 2014-06-09 |
| 1679917397 | Jeremy Dale Rogers | Marriage & Family Therapist | 5306 Labelle Ct, Fort Smith, AR 72903-2680 | 2013-04-24 |
| 1427294362 | Lisa Current, P.a. | Marriage & Family Therapist | 415 N. Mckinley Street, Suite 210, Little Rock, AR 72205-3265 | 2008-12-24 |
| 1952578502 | Vonda Keasler | Marriage & Family Therapist | 211 N 23rd St, Paragould, AR 72450-3949 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
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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.