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MS. JODY PETZOLDT M.A.
NPI 1689941528
Counselor - Professional in Cape Girardeau, MO

Active since November 21, 2011
340 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0416(573) 335-2698 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jody Petzoldt M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JODY PETZOLDT M.A. (NPI 1689941528) is an individual professional provider in Cape Girardeau, Missouri, licensed in Missouri (2011036260) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1689941528
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JODY PETZOLDTCredential: M.A.
Location Address340 S BROADVIEW STCape Girardeau, MO 63703-5703
Mailing Address340 S Broadview StCape Girardeau, MO 63703-5703 · (573) 332-0416 · Fax (573) 335-2698
Phone(573) 332-0416
Fax(573) 335-2698
Sole ProprietorNo
Enumeration DateNovember 21, 2011
✔ NPI 1689941528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2011036260
340 S BROADVIEW ST, Cape Girardeau, MO 63703
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY ANN ROBERSTON M.A.
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0613
GIBSON CENTER FOR BEHAVIORAL CHANGE
Counselor (Mental Health)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
MR. JOHN EUGENE NIMMO
Counselor (Mental Health)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
BRENDA GAUSE RN
Registered Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
JANICE L RUESLER LPC
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
TINA FULLER LPN
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
GIBSON CENTER FOR BEHAVIORAL CHANGE
Clinic/Center (Rehabilitation, Substance Use Disorder)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
MECHELLE ABERNATHY LPN
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Petzoldt's NPI number?

The NPI number for Jody Petzoldt is 1689941528. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is Jody Petzoldt located?

Jody Petzoldt practices at 340 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 332-0416.

What is Jody Petzoldt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jody Petzoldt was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.