MR. PETER HUDSON WANDERA (NPI# 1881015279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881015279 |
| Entity Type | Individual |
| Full Name | MR. PETER HUDSON WANDERA |
| Practice Address |
31955 Sr 20 Suite 3 Oak Harbor WA 98277 |
| Practice Telephone | 8009916070 |
| Practice Fax Number | 8009916071 |
| Mailing Telephone | 8009916070 |
| Mailing Fax Number | 8009916071 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
31955 SR 20 SUITE 3 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912285859 | Aptitude Habilitation Services | Clinical Neuropsychologist | 31955 Sr 20, Suite #3, Oak Harbor, WA 98277-5211 | 2011-07-26 |
| 1306246236 | Dawn Lyndel Palmer | Counselor | 31955 Sr 20, Suite 3, Oak Harbor, WA 98277-5211 | 2014-08-28 |
| 1679829147 | Erica Chenelle Marshall | Massage Therapist | 31955 Sr 20, Oak Harbor, WA 98277 | 2012-08-01 |
| 1386999530 | Alexandra Dianne Tomei | Behavioral Analyst | 31955 Sr 20, Suite 3, Oak Harbor, WA 98277-5211 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385558 | Lauren Katherine Gutschlag | Counselor | 32650 State Route 20 Ste 108, Oak Harbor, WA 98277-2641 | 2017-09-22 |
| 1013377480 | Crystal Lynn Allen | Counselor | 1311 Crosby Rd, Oak Harbor, WA 98277-9313 | 2016-02-29 |
| 1649693508 | Mark M Takaoka | Counselor | 32650 Sr 20 Suite 203, Oak Harbor, WA 98277 | 2014-01-29 |
| 1346662533 | Michael Leatherman | Counselor | 31955 Sr 20 Suite 3, Oak Harbor, WA 98277 | 2014-01-08 |
| 1619308426 | Ashlyn Brehm | Counselor | 231 Se Barrington Dr. Suite 203, Oak Harbor, WA 98277 | 2013-12-04 |
| 1376980805 | Katriona Marie Day | Counselor | 31955 State Route 20, Suite 3, Oak Harbor, WA 98277-5211 | 2013-05-23 |
| 1225471949 | Kayla Mefferd | Counselor | 31955 State Route 20 Ste 3, Oak Harbor, WA 98277-5211 | 2013-04-11 |
| 1003259276 | Kimberly Newcomb | Counselor | 31955 State Route 20 Suite 3, Oak Harbor, WA 98277 | 2013-04-08 |
| 1720320096 | Amy Willand | Counselor | 31955 State Route 20 # B-1, Suite 3, Oak Harbor, WA 98277-5211 | 2013-03-25 |
| 1598900227 | Rhettman Alexander Mullis Jr. | Counselor | 1364 Sw Looking Glass Loop, Oak Harbor, WA 98277-4564 | 2008-12-09 |
| Find all providers in OAK HARBOR | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
Please comment or provide details below to improve the information on MR. PETER HUDSON WANDERA.
| 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.