JENNIFER PETERSEN (NPI# 1891236550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891236550 |
| Entity Type | Individual |
| Full Name | JENNIFER PETERSEN |
| Credential | M.A. |
| Practice Address |
103 Enterprise Dr Warsaw IN 46580-1204 |
| Practice Telephone | 5742680448 |
| Mailing Telephone | 5742680448 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506353 | Jennifer S Petersen | Specialist | 266 Rintin St, Franklin Square, NY 11010-3406 | 2019-09-04 |
| 1740705003 | Jennifer Marie Petersen | Nurse Practitioner | 1892 Bassett Rd, Westlake, OH 44145-1909 | 2017-08-08 |
| 1417308578 | Jennifer Mary Petersen | Licensed Practical Nurse | 417 Grove St, Sullivan, WI 53178-9770 | 2016-06-29 |
| 1013311398 | Jennifer Petersen | Counselor | 4213 Durango Pl, Fort Collins, CO 80526-4103 | 2014-10-15 |
| 1558669523 | Jennifer L Petersen | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-03-01 |
| 1265586812 | Jennifer L Petersen | Specialist/Technologist | 1256 Bark Rd, Magnolia, OH 44643 | 2007-01-22 |
| 1124180104 | Jennifer Jill Petersen | Chiropractor | 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044 | 2006-12-15 |
| 1841279890 | Jennifer Lynn Petersen | Chiropractor | 128 6th Ave S, Clinton, IA 52732-4103 | 2006-01-10 |
| 1073037982 | Jennifer Suzanne Petersen | Registered Nurse | 5930 S 58th St Ste W, Lincoln, NE 68516-3653 | 2017-08-01 |
| 1265823058 | Jennifer Petersen | Pharmacy Technician | 301 Park Dr, Owatonna, MN 55060-5639 | 2015-02-15 |
| Street Address |
103 ENTERPRISE DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| 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 |
|---|---|---|---|---|
| 1215591136 | Bethany Ann Crostreet | Counselor | 105 Enterprise Dr, Warsaw, IN 46580-1204 | 2019-04-25 |
| 1780102723 | Andie A Loranty | Counselor | 56 W Buffalo St, Warsaw, NY 14569-1209 | 2017-08-30 |
| 1285889865 | Amy Lynn Kowalski | Counselor | 58 W Buffalo St, Warsaw, NY 14569-1258 | 2008-11-24 |
| 1952564098 | Wayne Joseph Hanley | Counselor | 21 W Buffalo St, Warsaw, NY 14569-1225 | 2008-07-09 |
| 1245877273 | Kristen Callanan | Counselor | 34 N Main St, Warsaw, NY 14569-1326 | 2019-12-10 |
| 1770126096 | Allysa Grace Pascoe I | Counselor | 87 N Main St, Warsaw, NY 14569-1343 | 2019-10-18 |
| 1295376168 | Steven L Perlack | Counselor | 850 N Harrison St, Warsaw, IN 46580-3163 | 2019-10-02 |
| 1639738735 | Erica Southwood | Counselor | 34 N Main St, Warsaw, NY 14569-1326 | 2019-06-12 |
| 1255827523 | Catherine G. Cleveland | Counselor | 34 N Main St, Warsaw, NY 14569-1326 | 2018-07-10 |
| 1326534603 | Jonathan R Carlson | Counselor | 34 N Main St, Warsaw, NY 14569-1326 | 2018-07-10 |
| Find all providers in WARSAW | ||||
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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.