MRS. JODI SANDRA PETERSON (NPI# 1851580658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851580658 |
| Entity Type | Individual |
| Full Name | MRS. JODI SANDRA PETERSON |
| Other Name | MS. JODI SANDRA KEYES |
| Credential | LIC PROF COUNSELOR |
| Practice Address |
47 Town St Norwich CT 06360-2323 |
| Practice Telephone | 8608927042 |
| Practice Fax Number | 8608927043 |
| Mailing Telephone | 8608927042 |
| Mailing Fax Number | 8604448776 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001529 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710736 | Jodi Peterson | Nurse Practitioner | 7600 S Minnesota Ave Ste 201, Sioux Falls, SD 57108-2988 | 2020-11-08 |
| 1952969073 | Jodi Peterson | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-06-04 |
| 1831575745 | Jodi Lynn Peterson | Physician Assistant | 1101 N 27th St, Ste 101, Billings, MT 59101-0100 | 2015-08-03 |
| 1659767184 | Jodi Peterson | Counselor | 1195 Nw Wall St, Bend, OR 97703-1965 | 2015-04-10 |
| 1831479799 | Jodi Elson Peterson | Marriage & Family Therapist | 425 W Bonita Ave, Suite 204, San Dimas, CA 91773-2541 | 2011-08-24 |
| 1942440763 | Jodi M Peterson | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-03-06 |
| Street Address |
47 TOWN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741534 | Elizabeth L Goodin | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2005-06-22 |
| 1730786674 | Elizabeth Florentine | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-10-05 |
| 1063028975 | Colleen Roche | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-09-17 |
| 1477167120 | Erin Apt | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-09-01 |
| 1558973610 | Ashley Lynn West | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-08-20 |
| 1427671353 | Kathryn Brahm | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-05-27 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1689200859 | Jillian Hardy | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2323 | 2020-03-19 |
| 1629610860 | Victoria Hulsman | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2019-10-09 |
| 1407402654 | Katherine Ramos | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547338 | Kathleen Elizabeth Cote | Counselor | 14 Julian St, Norwich, CT 06360-2704 | 2020-04-17 |
| 1972082576 | Matthew Clement | Counselor | 1 Meadow Ln, Norwich, CT 06360-5213 | 2018-08-14 |
| 1861655268 | Jeigh Hayes | Counselor | 108 New London Tpke Ste 3, Norwich, CT 06360-2645 | 2008-07-07 |
| 1336301605 | Christin Michele Morales | Counselor | 1 Ohio Ave, Norwich, CT 06360-1536 | 2008-06-27 |
| 1649399635 | Susan Britt | Counselor | 15 Nemczuk Dr, Norwich, CT 06360-1744 | 2007-03-29 |
| 1679625438 | Cori Jean Beckwith | Counselor | 42 Knollcrest Rd, Norwich, CT 06360-1440 | 2007-01-18 |
| 1346264769 | Barbara J Grover | Counselor | 62 Broadway, Norwich, CT 06360-5702 | 2006-07-27 |
| 1942818380 | Janankia Andrea Thomas | Counselor | 326 Washington St, Norwich, CT 06360-2740 | 2020-07-22 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1609497171 | Sarah Piekarczyk | Counselor | 11a Stott Ave, Norwich, CT 06360-1507 | 2020-05-06 |
| Find all providers in NORWICH | ||||
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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.