Organization Active NPI

Channel of Peace Counseling, LLC

  • Clinical Social Worker
  • Saint Marys, PA
National Provider Identifier
1184553612
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHANNEL OF PEACE COUNSELING, LLC
Practice address
129 N Michael St Ste L3
Saint Marys, PA 15857-1171
Phone
(814) 225-8660
NPI assigned
May 19, 2026
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Justin Lee Bauer, LCSWNPI 1508302670
Title
Owner
Phone
(814) 335-0873

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 NU Primary

Addresses

Primary practice location

129 N Michael St Ste L3
Saint Marys, PA 15857-1171

Mailing address

208 Martin Rd
Saint Marys, PA 15857-2124
Phone (814) 225-8660

National Provider Directory

National Provider Directory

Locations

129 N Michael St
Ste L3
Saint Marys, PA 15857
Phone (814) 225-8660

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": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1184553612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MARTIN RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572124",
            "telephone_number": "814-225-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N MICHAEL ST STE L3",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571171",
            "telephone_number": "814-225-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL OF PEACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-335-0873",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.