Active NPI
Patricia Peace
- Mental Health Counselor
- Debary, FL
National Provider Identifier
1134540743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15248
- Practice address
- 430 Summerhaven Dr Ste 200
Debary, FL 32713-2755 - Phone
- (407) 221-7463
- NPI assigned
- Dec 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MH15248 | FL | Primary |
Addresses
Primary practice location
430 Summerhaven Dr Ste 200
Debary, FL 32713-2755
Mailing address
430 Summerhaven Dr Ste 200
Debary, FL 32713-2755
Phone (407) 221-7463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15248 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1134540743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SUMMERHAVEN DR STE 200",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132755",
"telephone_number": "407-221-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SUMMERHAVEN DR STE 200",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132755",
"telephone_number": "407-221-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACE",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-27",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.