Organization Active NPI

Peace Lily Therapy, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1184371809
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEACE LILY THERAPY, PLLC
Practice address
3144 N Ridgeway Ave Apt 2
Chicago, IL 60618-6616
Phone
(828) 337-3223
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Lily Peifer, LCSW
Title
Therapist
Phone
(828) 337-3223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3144 N Ridgeway Ave Apt 2
Chicago, IL 60618-6616

Mailing address

3144 N Ridgeway Ave Apt 2
Chicago, IL 60618-6616
Phone (828) 337-3223

Other practice location 1

3411 W Diversey Ave Ste 1
Chicago, IL 60647-1281
Phone (312) 757-1612

National Provider Directory

National Provider Directory

Locations

3411 W Diversey Ave
Ste 1
Chicago, IL 60647
Phone (312) 757-1612

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1184371809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 N RIDGEWAY AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186616",
            "telephone_number": "828-337-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 N RIDGEWAY AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186616",
            "telephone_number": "828-337-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3411 W Diversey Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606471281",
            "country_code": "US",
            "telephone_number": "312-757-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACE LILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "PEIFER",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "828-337-3223",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.