Paula M Peterson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10560 Issued in NE

Legal business name

PAULA M PETERSON

Practice address

803 Providence Rd
Suite 102
Wayne, NE 68787-1623

Phone

(402) 833-1410

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Marie Jeannette Peterson, PLMHP

Title

Counselor

Phone

(402) 833-1410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1649653718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 PROVIDENCE RD",
            "address_2": "STE. 102",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871519",
            "telephone_number": "402-833-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 PROVIDENCE RD",
            "address_2": "SUITE 102",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871623",
            "telephone_number": "402-833-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA M PETERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MARIE JEANNETTE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "402-833-1410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wayne, NE
• Providers in Wayne, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.