MR. MICHAEL PETERMAN (NPI# 1821422460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821422460 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PETERMAN |
| Credential | LPC |
| Practice Address |
2919 E 4th St Joplin MO 64801-1625 |
| Practice Telephone | 4177827966 |
| Practice Fax Number | 4176244558 |
| Mailing Telephone | 4177827966 |
| Mailing Fax Number | 4176244558 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002096 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073615993 | Michael Scott Peterman | Dentist | 2817 Reilly St Stop B, Usa Dental Activity Mcds Na B, Fort Bragg, NC 28310-7302 | 2006-09-01 |
| 1447205406 | Michael J Peterman | Anesthesiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-05-24 |
| Street Address |
2919 E 4TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144666264 | Vcphcs Xv, LLC | Clinic/Center | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-05-15 |
| 1164089413 | Theresa Kay Burwick | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2019-05-22 |
| 1124511217 | Ashley Bennett | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2018-06-13 |
| 1891140810 | Daniel Bingham | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2016-04-27 |
| 1710311493 | Shelia Diane Howe | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1821422502 | Linda Ann Bogue | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1104250885 | Gary Jamett | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1073947859 | Christopher Sampson | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-28 |
| 1134553191 | Valery Jean Slaton | Registered Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1932692647 | Kristine Shirley Gustafson | Counselor | 123 S Moffet Ave, Joplin, MO 64801-2618 | 2018-06-08 |
| 1265946131 | Virginia Hayes | Counselor | 705 W 26th St, Joplin, MO 64804-1904 | 2017-11-29 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1003279555 | Darla Wyatt | Counselor | 3405 S. Hammons Blvd., Joplin, MO 64804 | 2016-04-01 |
| 1104162775 | Andrea Dana Lee Phillips | Counselor | 707 Pearl Street, Suite B, Joplin, MO 64801-1241 | 2012-12-29 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1518219187 | Cynthia L Martin | Counselor | 4710 E 32nd St, Joplin, MO 64804-4411 | 2012-10-08 |
| 1528338415 | Phyllis Irene Cook | Counselor | 707 S Pearl Ave, Joplin, MO 64801-4334 | 2012-01-09 |
| 1578874160 | Melinda Annette Gibson | Counselor | 1840 N Range Line Rd Ste 6, Joplin, MO 64801-8322 | 2010-06-29 |
| Find all providers in JOPLIN | ||||
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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.