Organization Active NPI

Peace of Mind Counseling Services

  • Clinical Social Worker
  • Fulton, NY
National Provider Identifier
1104575596
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACE OF MIND COUNSELING SERVICES
Practice address
170 W 1St St S
Fulton, NY 13069-2231
Phone
(315) 593-4847
Fax
(315) 752-0993
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Ms. Chalet Therese Dewey-Flint, LCSW-RNPI 1457708299
Title
Owner/Psychotherapist
Phone
(315) 593-4847

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

170 W 1St St S
Fulton, NY 13069-2231

Mailing address

170 W 1St St S
Fulton, NY 13069-2231
Phone (315) 593-4847

National Provider Directory

National Provider Directory

Locations

170 W 1st St S
Fulton, NY 13069
Phone (315) 593-4847

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": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1104575596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692231",
            "telephone_number": "315-593-4847",
            "fax_number": "315-752-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692231",
            "telephone_number": "315-593-4847",
            "fax_number": "315-752-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "DEWEY-FLINT",
        "authorized_official_first_name": "CHALET",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "315-593-4847",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.