Active NPI
Peacemaker Solutions, Inc.
- Professional Counselor
- Kennesaw, GA
National Provider Identifier
1134589294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PEACEMAKER SOLUTIONS, INC.
- Practice address
- 1827 Brackendale Rd NW
Kennesaw, GA 30152-7747 - Phone
- (678) 582-1469
- Fax
- (770) 212-2210
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Oduselu, MS, NCC, LPC, CPCS
- Title
- Ceo/Licensed Professional Counselor
- Phone
- (404) 644-5523
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | LPC008829 | GA |
Addresses
Primary practice location
1827 Brackendale Rd NW
Kennesaw, GA 30152-7747
Mailing address
PO Box 42
Acworth, GA 30101-0042
Phone (678) 582-1469
Other names 1
- Peacemaker Solution LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jackie_o@peacemaker-solutions.com |
National Provider Directory
National Provider DirectoryLocations
1905 Woodstock Rd
Ste 7150
Roswell, GA 30075
Phone (404) 932-9320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Kennesaw, GA
- NPI 1922467414
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719014400000",
"number": "1134589294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301010042",
"telephone_number": "678-582-1469",
"fax_number": "770-212-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 BRACKENDALE RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527747",
"telephone_number": "678-582-1469",
"fax_number": "770-212-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEMAKER SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2024-06-22",
"certification_date": "2024-06-22",
"status": "A",
"authorized_official_last_name": "ODUSELU",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "CEO/LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "404-644-5523",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, NCC, LPC, CPCS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC008829",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jackie_o@peacemaker-solutions.com",
"affiliation": "N",
"address_1": "1827 Brackendale Rd NW",
"city": "Kennesaw",
"state": "GA",
"country_code": "US",
"postal_code": "301527747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Peacemaker Solution LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.