Organization Active NPI

Peaceway Counseling LLC

  • Community/Behavioral Health Agency
  • North Vernon, IN
National Provider Identifier
1174868087
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
34004749A Issued in IN
Legal business name
PEACEWAY COUNSELING LLC
Practice address
1627 N State St
North Vernon, IN 47265-7479
Phone
(812) 592-6795
Fax
(866) 317-2845
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mrs. Sherry Danae Beal, L.C.S.W.NPI 1356544985
Title
Owner
Phone
(812) 592-6795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 34004749A IN Primary

Addresses

Primary practice location

1627 N State St
North Vernon, IN 47265-7479

Mailing address

1627 North State Street
North Vernon, IN 47265
Phone (812) 592-6795

National Provider Directory

National Provider Directory

Locations

1627 N State St
North Vernon, IN 47265
Phone (812) 592-6795

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": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1174868087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 NORTH STATE STREET",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "47265",
            "telephone_number": "812-592-6795",
            "fax_number": "866-317-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657479",
            "telephone_number": "812-592-6795",
            "fax_number": "866-317-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-592-6795",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34004749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.