Organization Active NPI

Peacemaker Solutions, Inc.

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1134589294
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 22, 2024

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, CPCSNPI 1922467414
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jackie_o@peacemaker-solutions.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.