Organization Active NPI

Peace of Serenity

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincolnshire, IL
National Provider Identifier
1124804943
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACE OF SERENITY
Practice address
1 Overlook PT Ste 142
Lincolnshire, IL 60069-4326
Phone
(224) 970-7868
Fax
(833) 547-1927
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mia M. ChappleNPI 1487363552
Title
Psychiatric Nurse Practitioner
Phone
(224) 970-7868

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1 Overlook PT Ste 142
Lincolnshire, IL 60069-4326

Mailing address

1979 Bluff CT
Round Lake, IL 60073-8109

Other practice location 1

9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone (503) 714-3582

Other practice location 2

221 1st Ave W Ste 200
Seattle, WA 98119-4223
Phone (503) 714-3582

National Provider Directory

National Provider Directory

Locations

1 Overlook Pt
Ste 142
Lincolnshire, IL 60069
Phone (224) 970-7868

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": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1124804943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 BLUFF CT",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600738109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OVERLOOK PT STE 142",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694326",
            "telephone_number": "224-970-7868",
            "fax_number": "833-547-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9620 NE Tanasbourne Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247844",
            "country_code": "US",
            "telephone_number": "503-714-3582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 1st Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194223",
            "country_code": "US",
            "telephone_number": "503-714-3582",
            "fax_number": "833-547-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACE OF SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "CHAPPLE",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-970-7868"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.