Organization Active NPI

Peace Center

  • Adolescent and Children Mental Health Clinic/Center
  • Auburn, AL
National Provider Identifier
1073285136
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PEACE CENTER
Practice address
1716 Catherine CT Ste 2a
Auburn, AL 36830-5735
Phone
(334) 610-0169
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Mrs. Virginia H Young, ALCNPI 1942978226
Title
Clinical Director
Phone
(334) 610-0169

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1716 Catherine CT Ste 2a
Auburn, AL 36830-5735

Mailing address

1716 Catherine CT Ste 2a
Auburn, AL 36830-5735
Phone (334) 610-0169

Other identifiers 1

IdentifierTypeStateIssuer
C3776AOtherALALABAMA BOARD OF EXAMINERS IN COUNSELING

National Provider Directory

National Provider Directory

Locations

478 Opelika Rd
Auburn, AL 36830
Phone (334) 521-6204

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1073285136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 CATHERINE CT STE 2A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305735",
            "telephone_number": "334-610-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CATHERINE CT STE 2A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305735",
            "telephone_number": "334-610-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "334-610-0169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "C3776A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.