Organization Active NPI

Peaceful Connections Therapy, PLLC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1053873653
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEACEFUL CONNECTIONS THERAPY, PLLC
Practice address
107 Fannin Ave BLDG 100
Round Rock, TX 78664-5218
Phone
(512) 228-9095
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Jennifer Reedy, MA, LPC-S, LMFT-SNPI 1265994867
Title
Owner
Phone
(512) 228-9095

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

107 Fannin Ave BLDG 100
Round Rock, TX 78664-5218

Mailing address

107 Fannin Ave BLDG 100
Round Rock, TX 78664-5218
Phone (512) 228-9095

National Provider Directory

National Provider Directory

Locations

107 Fannin Ave
Bldg 100
Round Rock, TX 78664
Phone (512) 228-9095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1053873653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FANNIN AVE BLDG 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645218",
            "telephone_number": "512-228-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FANNIN AVE BLDG 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645218",
            "telephone_number": "512-228-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL CONNECTIONS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-228-9095",
        "authorized_official_credential": "MA, LPC-S, LMFT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

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