NPIMap

Organization Active NPI

Deborah Peterman Counseling

  • Clinical Social Worker
  • Shawano, WI
National Provider Identifier
1255567608
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
189-123 Issued in WI
Legal business name
DEBORAH PETERMAN COUNSELING
Practice address
1488 E Green Bay St # 8
Shawano, WI 54166-2258
Phone
(715) 524-8896
Fax
(715) 524-8964
NPI assigned
May 29, 2009
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Deborah Peterman, LCSWNPI 1659391605
Title
Owner/Therapist
Phone
(715) 524-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1998-132 WI
Clinical Psychologist 103TC0700X 1466-057 WI
Clinical Social Worker 1041C0700X 189-123 WI Primary

Addresses

Primary practice location

1488 E Green Bay St # 8
Shawano, WI 54166-2258

Mailing address

PO Box 128
Shawano, WI 54166-0128
Phone (715) 524-8896

National Provider Directory

National Provider Directory

Locations

1488 E Green Bay St
Ste 8
Shawano, WI 54166
Phone (715) 524-8896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1255567608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541660128",
            "telephone_number": "715-524-8896",
            "fax_number": "715-524-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 E GREEN BAY ST # 8",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662258",
            "telephone_number": "715-524-8896",
            "fax_number": "715-524-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH PETERMAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "715-524-8896",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1998-132",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1466-057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "189-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.