NPIMap

Organization Active NPI

My Place for Peace, LLC

  • Professional Counselor
  • Flemington, NJ
National Provider Identifier
1023659976
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MY PLACE FOR PEACE, LLC
Practice address
84 Park Ave Ste E114
Flemington, NJ 08822-1176
Phone
(908) 751-1208
Fax
(908) 824-2369
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Mrs. Katharine Mary Bergacs, LCSWNPI 1245407162
Title
Owner/Clinician
Phone
(908) 751-1208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

84 Park Ave Ste E114
Flemington, NJ 08822-1176

Mailing address

84 Park Ave Ste E114
Flemington, NJ 08822-1176
Phone (908) 751-1208

National Provider Directory

National Provider Directory

Locations

81 Park Ave
Flemington, NJ 08822
Phone (908) 751-1208

84 Park Ave
Ste E114
Flemington, NJ 08822
Phone (908) 751-1208

87 Park Ave
Flemington, NJ 08822
Phone (908) 751-1208

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1023659976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PARK AVE STE E114",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221176",
            "telephone_number": "908-751-1208",
            "fax_number": "908-824-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PARK AVE STE E114",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221176",
            "telephone_number": "908-751-1208",
            "fax_number": "908-824-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PLACE FOR PEACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "BERGACS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "908-751-1208",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.