Dawn Louise Peterson-Lewis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704007662 Issued in VA

Practice address

5730 Deep Forest Rd
North Chesterfield, VA 23237-3964

Phone

(804) 516-4471

NPI assigned

Nov 30, 2022

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manifestini Coaching and Consulting LLC

  dba Manifestini Wellness

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1609589472
  NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1528778511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 DEEP FOREST RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373964",
            "telephone_number": "804-516-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 DEEP FOREST RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373964",
            "telephone_number": "804-516-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-LEWIS",
        "first_name": "DAWN",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704007662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Douglas Perry, O.D.
• Lashon Akie Perry
• Tamiyah Danielle Perry, LMHP-S
• Robert Lewis Peskind, M.D.
• Michelle Peters
• Tamera Peterson
• Christodoulos M Petras, M.D.
• Laura Petrozza, PHARMD, RPH
• Angela Dawn Cheatham Petry, LPC
• Jeannette Pfeffer, PT,DPT

• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.