GRACE & PEACE COUNSELING, LLC (NPI# 1588287858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588287858 |
| Entity Type | Organization |
| Organization Name | GRACE & PEACE COUNSELING, LLC |
| Practice Address |
240 S Montezuma St Ste 106 Prescott AZ 86303-4712 |
| Practice Telephone | 8443847223 |
| Practice Fax Number | 8443847223 |
| Mailing Telephone | 8443847223 |
| Mailing Fax Number | 8443847223 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | KYLE ROSEBAUGH (OFFICER) |
| Authorized Official Telephone | 8443847223 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Grace & Peace Counseling | Doing Business As Name - Organization |
| Street Address |
240 S MONTEZUMA ST STE 106 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978781 | Terence Maguire Pilicy | Counselor | 812 Valley St Ste 7, Prescott, AZ 86305-1826 | 2019-02-18 |
| 1952875577 | Sean James Mcloughlin | Counselor | 122 N Cortez St Ste 107, Prescott, AZ 86301-3022 | 2019-01-16 |
| 1447725767 | Laura Henry Oliver | Counselor | 711 Seri Dr, Prescott, AZ 86303-7214 | 2018-10-13 |
| 1164923025 | Virginia Wenzel | Counselor | 2063 Meadowbrook Rd, Prescott, AZ 86303-5696 | 2018-02-26 |
| 1518364652 | Kathleen Hald | Counselor | 204 N Mount Vernon Ave, 112 East Merrit Street, Prescott, AZ 86301-3108 | 2014-12-03 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1134543481 | R. Smyly Addiction Clinical Services LLC | Counselor | 819 W Gurley St Unit C, Prescott, AZ 86305-3626 | 2014-02-06 |
| 1134435019 | Penny Collins | Counselor | 332 Circle P Dr, Prescott, AZ 86303-5525 | 2010-08-30 |
| 1699089730 | Debbie Ritterbush | Counselor | 914 E Gurley St Ste 200, Prescott, AZ 86301-3245 | 2010-07-30 |
| 1093961708 | Tracey Frederiksen | Counselor | 2228 Lakewood Dr, Prescott, AZ 86301-4476 | 2008-08-13 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.