NPIMap

Organization Active NPI

Peacemaking of the Human Spirit

  • Professional Counselor
  • Palm Beach Gardens, FL
National Provider Identifier
1144557455
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH7368 Issued in FL
Legal business name
PEACEMAKING OF THE HUMAN SPIRIT
Practice address
5608 Pga Blvd Ste 206
Palm Beach Gardens, FL 33418-4121
Phone
(561) 776-1660
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Nina Nicholas, PH.D.NPI 1477602720
Title
Owner
Phone
(561) 776-1660

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MH7368 FL Primary

Addresses

Primary practice location

5608 Pga Blvd Ste 206
Palm Beach Gardens, FL 33418-4121

Mailing address

524 Park Ave
Lake Park, FL 33403-2604
Phone (561) 512-8563

National Provider Directory

National Provider Directory

Locations

5608 Pga Blvd
Ste 206
Palm Beach Gardens, FL 33418
Phone (561) 500-3277

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1144557455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032604",
            "telephone_number": "561-512-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PGA BLVD STE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184121",
            "telephone_number": "561-776-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEMAKING OF THE HUMAN SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-776-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.