Organization Active NPI

Peace of Mind PLLC

  • Clinical Social Worker
  • Romeoville, IL
National Provider Identifier
1164792982
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012933 Issued in IL
Legal business name
PEACE OF MIND PLLC
Practice address
349 S Weber Rd
Romeoville, IL 60446-6530
Phone
(815) 325-4977
NPI assigned
Jan 10, 2012
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Rachel Sahtout, LCSWNPI 1124290614
Title
Owner/Director
Phone
(815) 325-4977

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
Clinical Social Worker 1041C0700X 149012933 IL Primary

Addresses

Primary practice location

349 S Weber Rd
Romeoville, IL 60446-6530

Mailing address

PO Box 7174
Romeoville, IL 60446-7074
Phone (815) 325-4977

Other names 1

  • A Peace of Mind, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102001471 IL Part B Supplier - Clinic/Group Practice 9436509577 Receives reassigned benefits from 1 practitioner
Practice locations: Romeoville, IL

National Provider Directory

National Provider Directory

Locations

800 W 5th Ave
Ste 102A
Naperville, IL 60563
Phone (630) 548-0749

349 S Weber Rd
Romeoville, IL 60446
Phone (815) 325-4977

349 S Weber Rd
Ste 136
Romeoville, IL 60446
Phone (815) 325-4977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1164792982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7174",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604467074",
            "telephone_number": "815-325-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466530",
            "telephone_number": "815-325-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SAHTOUT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "815-325-4977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Peace of Mind, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.