Organization Active NPI

Peaceful Path Counseling, LLC

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1033691613
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15635 Issued in FL
Legal business name
PEACEFUL PATH COUNSELING, LLC
Practice address
123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619
Phone
(561) 899-9420
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Neil Wolfson, LCSWNPI 1104307552
Title
Clinical Therapist
Phone
(561) 899-9420

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW15635 FL Primary

Addresses

Primary practice location

123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619

Mailing address

123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619
Phone (561) 899-9420

National Provider Directory

National Provider Directory

Locations

123 NW 13th St
Ste 222
Boca Raton, FL 33432
Phone (561) 206-4601

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1033691613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321619",
            "telephone_number": "561-899-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321619",
            "telephone_number": "561-899-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "561-899-9420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.