STACY PETERSON (NPI# 1992259519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992259519 |
| Entity Type | Individual |
| Full Name | STACY PETERSON |
| Practice Address |
2 5th St N Ste 202 Great Falls MT 59401-4011 |
| Practice Telephone | 4064539355 |
| Practice Fax Number | 8442741180 |
| Mailing Telephone | 4064539355 |
| Mailing Fax Number | 8442741180 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 18900 | MT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
18900 | MT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
18900 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518234913 | Stacy Elizabeth Peterson | Speech-Language Pathologist | 1004 Inwood Dr, Hurst, TX 76053-4129 | 2011-11-29 |
| 1922522838 | Stacy Peterson | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2017-08-01 |
| 1730627571 | Stacy Peterson | Behavior Technician | 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 | 2017-02-01 |
| 1295167922 | Stacy Lashunn Peterson | Counselor | 501 W Columbus St, Bakersfield, CA 93301 | 2013-08-05 |
| 1821314774 | Stacy M. Peterson | Social Worker | 405 Clement St, Suite #2, San Francisco, CA 94118-2317 | 2010-04-18 |
| 1942460563 | Stacy Peterson | Developmental Therapist | 8615 Crawford Ave, Skokie, IL 60076-2125 | 2008-06-17 |
| 1356515704 | Stacy Peterson | Anesthesiology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2008-04-16 |
| 1316030638 | Stacy L Peterson | Surgery | 818 N Emporia St, Suite 305, Wichita, KS 67214-3729 | 2006-09-30 |
| 1952416489 | Stacy Peterson | Emergency Medicine | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-21 |
| Street Address |
2 5TH ST N STE 202 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746456 | Renew Wellness Center | Clinic/Center | 2 5th St N Ste 202, Great Falls, MT 59401-4011 | 2018-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328573 | Amanda M Walker | Counselor | 1601 2nd Ave N Ste 200a, Great Falls, MT 59401-3243 | 2019-10-23 |
| 1124519491 | Destiny Freiburg | Counselor | 417 Central Ave Ste 2b, Great Falls, MT 59401-3162 | 2018-05-22 |
| 1366956898 | Lela May Zuck | Counselor | 600 Central Ave Ste 312, Great Falls, MT 59401-3141 | 2017-11-20 |
| 1902322266 | Tanya L Richem | Counselor | 1324 Central Ave W Ste 6, Great Falls, MT 59404-3971 | 2017-08-18 |
| 1760902886 | Patty Sisk Goodmundson | Counselor | 225 7th Ave S, Great Falls, MT 59405-1820 | 2017-06-20 |
| 1245772920 | Believe Therapeutic Services | Counselor | 1601 2nd Ave N Ste 450-i, Great Falls, MT 59401-3259 | 2016-11-10 |
| 1528500402 | Jacqueline Woyth | Counselor | 2501 6th St Nw, Great Falls, MT 59404-1300 | 2016-11-09 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1487106928 | Nicole Dresch | Counselor | 3420 15th Ave South, Great Falls, MT 59405 | 2016-11-01 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on STACY PETERSON.
| 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.