MS. CHANDA ELIZABETH PETERMANN LMHC NPI 1114996139

NPI Information

NPI: 1114996139
Provider Name: MS. CHANDA ELIZABETH PETERMANN, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1003 GRAND AVENUE
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 267-1003
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MS. Chanda Elizabeth Petermann, LMHC is a mental health counselor in West Des Moines, IA. MS. Chanda Elizabeth Petermann, LMHC NPI is 1114996139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1003 GRAND AVENUE
WEST DES MOINES, IA
ZIP 50265-502
Phone: (515) 267-1003
Fax: (515) 267-0100

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	354	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1045898	OTHER	IOWA	MERIT BH
2	IA0119	OTHER	IOWA	JOHN DEERE HC
3	1045898	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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