PEACE OF MIND COUNSELING, LLC (NPI# 1669858536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669858536 |
| Entity Type | Organization |
| Organization Name | PEACE OF MIND COUNSELING, LLC |
| Practice Address |
2016 Vadalabene Dr Ste A Maryville IL 62062-6901 |
| Practice Telephone | 6188236444 |
| Practice Fax Number | 6185518456 |
| Mailing Telephone | 6188236444 |
| Mailing Fax Number | 6185518456 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | DIANE BRACAMONTES (OWNER) |
| Authorized Official Telephone | 6188236444 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 149.013539 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992343388 | Peace of Mind Counseling, LLC | Social Worker | 3349 Ridgelake Dr., Metairie, LA 70002-3851 | 2019-12-16 |
| 1477918266 | Peace of Mind Counseling, LLC | Counselor | 8306 Office Park Dr, Ste C, Douglasville, GA 30134-6935 | 2015-12-21 |
| 1265881510 | Peace of Mind Counseling, LLC | Clinical Nurse Specialist | 728 N Cross Pointe Blvd, Suite 102, Evansville, IN 47715-9163 | 2016-06-07 |
| 1225427420 | Peace of Mind Counseling, LLC | Counselor | 7905 L St, Suite 410, Omaha, NE 68127-1732 | 2015-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Peace of Mind Counseling, LLC | 710 11th Ave Suite 108, Greeley, CO 80631 |
| Connecticut Business Registrations | PEACE OF MIND COUNSELING, LLC | 80 Shunpike Rd., Ste. 205, Cromwell, CT 06416 |
| Street Address |
2016 VADALABENE DR STE A |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1265869382 | Veeda L. Rinkel | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2013-10-03 |
| 1538402292 | Katherine N Woolsey | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2013-04-01 |
| 1679845465 | Gretchen A Koehne | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2012-02-08 |
| 1306089974 | Diane Bracamontes | Social Worker | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548430333 | Psychological & Counseling Services | Community/Behavioral Health | 601 Charles St, Maryville, TN 37804-5048 | 2008-03-07 |
| 1275873630 | Advanced Practice Psychiatry LLC | Community/Behavioral Health | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2013-02-21 |
| 1750515680 | Jacobson Counseling LLC | Community/Behavioral Health | 106 W Edwards St, Maryville, MO 64468-2419 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.