MICHELLE C PETERSON (NPI# 1851354153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851354153 |
| Entity Type | Individual |
| Full Name | MICHELLE C PETERSON |
| Credential | MS LMFT |
| Practice Address |
7600 Parklawn Ave Edina MN 55435 |
| Mailing Address |
7600 Parklawn Avenue 380 Edina MN 55435-4300 |
| Practice Telephone | (612) 203-2961 |
| Practice Fax Number | 9528310033 |
| Mailing Telephone | 6122032961 |
| Mailing Fax Number | 9528310033 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1315 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ORGANIZATIONAL NPI | 1639343783 | 01 | |
| MN | PREFERRED ONE | 990991045225 | 01 |
| MN | 918142300 | 05 | |
| MEDICAL ASSISTANCE | 918142300 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7200 France Ave S, 329, Edina, MN 554354300 | 6122032961 | 9528310033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1598117939 | Michelle Danielle Peterson | Counselor | 27 Hiawatha Ct, Midland Park, NJ 07432-1005 | 2016-07-11 |
| 1609103779 | Michelle Peterson | Massage Therapist | 14040 Ne 8th St Ste 214, Bellevue, WA 98007-4138 | 2009-11-11 |
| 1619169901 | Michelle Peterson | Developmental Therapist | 579 Riford Rd, Glen Ellyn, IL 60137-4236 | 2007-08-10 |
| 1447811708 | Michelle L Peterson | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2019-06-26 |
| 1689234288 | Michelle Peterson | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2019-06-17 |
| 1932664257 | Michelle Peterson | Social Worker | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-02-01 |
| 1538630579 | Michelle Ashley Edwards Peterson | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2018-12-17 |
| 1366954075 | Michelle Peterson | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-11-03 |
| Street Address |
7600 PARKLAWN AVE |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599372 | Dinah Jane Haro | Marriage & Family Therapist | 7600 Parklawn Ave, #380, Edina, MN 55435-5125 | 2016-06-21 |
| 1336504752 | Swati Cerise | Marriage & Family Therapist | 7600 Parklawn Ave, 380, Edina, MN 55435-5125 | 2015-12-30 |
| 1639343783 | Mn Mental Health Consulting LLC | Community/Behavioral Health | 7600 Parklawn Ave, #380, Edina, MN 55435 | 2008-04-19 |
| 1770536542 | Joseph Harold Martin | Optometrist | 7600 Parklawn Ave, Suite 103, Edina, MN 55435-5125 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1265072482 | Erin Peterson, Inc. | Marriage & Family Therapist | 6800 France Ave S Ste 520, Edina, MN 55435-2006 | 2020-01-15 |
| 1588122493 | Dynelle R Helgeson | Marriage & Family Therapist | 5200 Willson Rd Ste 290, Edina, MN 55424-1346 | 2019-03-10 |
| 1619432077 | Holly Ramstad Birkeland | Marriage & Family Therapist | 3209 W 76th St Ste 304, Edina, MN 55435-5246 | 2019-02-09 |
| 1003328287 | Isabelle Anna Lankhorst | Marriage & Family Therapist | 6750 France Ave S Ste 200, Edina, MN 55435-1904 | 2017-10-28 |
| 1497292148 | Alina Meisner | Marriage & Family Therapist | 7400 Metro Blvd Ste 427, Edina, MN 55439-2359 | 2017-01-19 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1396106688 | Rachel Livingston | Marriage & Family Therapist | 3300 Edinborough Way Ste 550, Edina, MN 55435-5876 | 2016-03-14 |
| 1144694530 | Alexandra Hoese | Marriage & Family Therapist | 4570 W 77th St Ste 315, Edina, MN 55435-5035 | 2015-11-23 |
| Find all providers in EDINA | ||||
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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.