Organization Active NPI

Peace in Wellness Counseling LLC

  • Clinical Social Worker
  • Marlborough, CT
National Provider Identifier
1104597467
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACE IN WELLNESS COUNSELING LLC
Practice address
9 Austin Dr Ste 109
Marlborough, CT 06447-1375
Phone
(860) 617-8221
NPI assigned
Sep 25, 2021
Last updated
Sep 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Stacey M Jones, LCSWNPI 1972815561
Title
Owner
Phone
(860) 617-8221

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 Worker 1041C0700X Primary

Addresses

Primary practice location

9 Austin Dr Ste 109
Marlborough, CT 06447-1375

Mailing address

10 Cherry Valley Rd
Columbia, CT 06237-1205
Phone (860) 617-8221

Other names 1

  • Peace in Wellness Counseling LLC Other name

National Provider Directory

National Provider Directory

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": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1104597467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHERRY VALLEY RD",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371205",
            "telephone_number": "860-617-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AUSTIN DR STE 109",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471375",
            "telephone_number": "860-617-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE IN WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-617-8221",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace in Wellness Counseling LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.