ANGELA PETERSON (NPI# 1740706886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740706886 |
| Entity Type | Individual |
| Full Name | ANGELA PETERSON |
| Credential | LCDC111 |
| Practice Address |
2828 Vernon Pl Cincinnati OH 45219-2414 |
| Practice Telephone | (513) 281-7880 |
| Practice Fax Number | 5132817884 |
| Mailing Telephone | 5132817880 |
| Mailing Fax Number | 5132817884 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
161374 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 W 18th St, Covington, KY 410113329 | 5132817880 | 5132817884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230575 | Angela Peterson | Massage Therapist | 1133 C Amelback, Newport Beach, CA 92658 | 2020-09-21 |
| 1437783933 | Angela Peterson | Rehabilitation Practitioner | 745 Ne 81st St, Oklahoma City, OK 73114-4001 | 2020-02-24 |
| 1295334233 | Angela Peterson | Pharmacist | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2020-10-21 |
| 1093324642 | Angela M Peterson | Pharmacist | 450 Ken Pratt Blvd, Longmont, CO 80501-8522 | 2020-07-29 |
| 1851916365 | Angela Peterson | Nurse Practitioner | 37 S 2nd E, Rexburg, ID 83440-1906 | 2020-06-10 |
| 1801432380 | Angela Peterson | Student in an Organized Health Care Education/Training Program | 1250 Wallace Blvd, Amarillo, TX 79106-1741 | 2019-11-20 |
| 1861911141 | Angela Peterson | Registered Nurse | 305 Alto Vista Dr, Sunland Park, NM 88063-9116 | 2017-09-18 |
| 1003271586 | Angela Peterson | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-3823 | 2015-12-28 |
| 1871974329 | Angela M Peterson | Counselor | 529 Main St, Indian Orchard, MA 01151-1228 | 2015-06-10 |
| 1023496551 | Angela Lynn Peterson | Physical Therapist | 405 Pearl St, Malden, MA 02148-6644 | 2015-05-17 |
| Street Address |
2828 VERNON PL |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952337248 | Addiction Services Council | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2006-06-25 |
| 1679173959 | Arleen Dorville | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2020-10-27 |
| 1952928921 | Sarah Coyne | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2020-06-25 |
| 1598382566 | Jaime Richardson | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2020-06-25 |
| 1710514104 | Hannah Dawes | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2020-03-25 |
| 1821638263 | Caitlin Mccarthy | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2020-01-14 |
| 1578029146 | Jessica Miller | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2019-02-19 |
| 1417433426 | James Hawthorne | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2018-07-12 |
| 1467941708 | Maritza Dyer | Counselor | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2018-05-02 |
| 1063901494 | David Mckee | Peer Specialist | 2828 Vernon Pl, Cincinnati, OH 45219-2414 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050827 | Sonya L Dowdell | Counselor | 3127 Worthington Ave Apt 3, Cincinnati, OH 45211-7331 | 2020-07-10 |
| 1487273694 | Sharon White | Counselor | 123 Burley Cir, Cincinnati, OH 45218-1339 | 2020-04-09 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1982235636 | Narcotic Addiction Recovery Center LLC | Counselor | 2123 Auburn Ave Ste 310, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1699316398 | Babette Mccray | Counselor | 909 Sycamore St Ste 400, Cincinnati, OH 45202-1306 | 2019-10-03 |
| 1689223158 | Michael Brubaker | Counselor | 2610 Mcmicken Circle University of Cincinnati, Cincinnati, OH 45221-0001 | 2019-09-08 |
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1124598289 | Arthur Wilson Jr. | Counselor | 670 Northland Blvd Unit 46442, Cincinnati, OH 45246-7614 | 2018-12-03 |
| 1679049233 | Tiesha G Powell | Counselor | 1 N Commerce Park Dr # 318, Cincinnati, OH 45215-3187 | 2018-10-22 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on ANGELA 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.