FRED PEFFERKORN (NPI# 1821128422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821128422 |
| Entity Type | Individual |
| Full Name | FRED PEFFERKORN |
| Credential | LPC |
| Practice Address |
139c E Jackson Ave Monticello AR 71655-4933 |
| Practice Telephone | 8702248108 |
| Practice Fax Number | 8702248110 |
| Mailing Telephone | 8702248108 |
| Mailing Fax Number | 8702248110 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P1001006 | AR | Behavioral Health & Social Service Providers |
| Street Address |
139C E JACKSON AVE |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967004 | Minerva Huante | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2020-06-18 |
| 1861033722 | Kellie Gober | Social Worker | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2019-10-02 |
| 1508348038 | Bhc Pinnacle Pointe Healthcare | Clinic/Center | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2018-08-31 |
| 1235583345 | Eddie Davidson | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2016-04-15 |
| 1891132759 | Elaine M Simpson | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2013-05-31 |
| 1720372204 | Erma Riley | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2011-06-02 |
| 1083926968 | Alicia Bolen | Social Worker | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2010-07-08 |
| 1154558278 | Jennifer Ann Hall | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2009-06-16 |
| 1538309281 | Daniel Bergeron | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2009-02-20 |
| 1932358389 | Steven C Nall | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615299 | William Raleigh Hollon IIi | Counselor | 55 Surrey Hill Rd, Monticello, KY 42633-2320 | 2019-12-03 |
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| 1144738816 | Kaylas Place | Counselor | 41 Sheldon Dr, Monticello, NY 12701-4122 | 2018-01-16 |
| 1578079109 | Patsy R Catron | Counselor | 45 Surrey Hill Rd, Monticello, KY 42633-2320 | 2017-12-19 |
| 1194133116 | Jessica Pusc | Counselor | 4300 School Blvd, Suite 107, Monticello, MN 55362-4679 | 2014-07-23 |
| 1013201847 | Kathleen Rose-penkala Massmann | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2011-06-09 |
| 1629256805 | Johanna Mary Gersten | Counselor | 390 Broadway, Monticello, NY 12701-1157 | 2008-02-10 |
| 1487786539 | Ayd & Cavanagh, LLC | Counselor | 9007 Kagan Ave Ne, Monticello, MN 55362-4535 | 2007-03-12 |
| 1306971338 | Joyce Bolin | Counselor | 802 W Columbia Ave, Monticello, KY 42633-1630 | 2007-02-22 |
| 1891898474 | James R F Elliott | Counselor | 128 S Illinois St, Suite B, Monticello, IN 47960-1041 | 2006-09-07 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on FRED PEFFERKORN.
| 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.