Organization Active NPI

Peace of Mind Counseling Service

  • Adult Mental Health Clinic/Center
  • Port Arthur, TX
National Provider Identifier
1114567690
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEACE OF MIND COUNSELING SERVICE
Practice address
1 Plaza SQ Ste 100
Port Arthur, TX 77642-5513
Phone
(928) 542-6854
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Mr. Donald Scott Underwood
Title
Office Manager
Phone
(928) 542-6854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1 Plaza SQ Ste 100
Port Arthur, TX 77642-5513

Mailing address

6019 16TH St
Port Arthur, TX 77642-0415
Phone (928) 542-6854

Other names 1

  • Peace of Mind Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

1 Plaza Sq
Ste 100
Port Arthur, TX 77642
Phone (928) 542-6854

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1114567690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 16TH ST",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776420415",
            "telephone_number": "928-542-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA SQ STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425513",
            "telephone_number": "928-542-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-542-6854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace of Mind Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.