Peaceful Insight Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL INSIGHT COUNSELING LLC

Practice address

220 Corporate Center Dr Ste C
Stockbridge, GA 30281-6312

Phone

(678) 478-2937

NPI assigned

Dec 25, 2019

Organization subpart

No

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

Authorized official

Name

Devesea TatumNPI 1023417565

Title

Owner

Phone

(678) 201-7948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devesea Tatum, LCSW

  • Clinical Social Worker
  • Stockbridge, GA
  • NPI 1023417565
  Medicare reassignment NPD Authorized official
• Jennifer Schafer, LCSW

  • Clinical Social Worker
  • Fayetteville, GA
  • NPI 1548748379
  NPD
• Shandria Thomas, MSW

  • Professional Counselor
  • Stockbridge, GA
  • NPI 1700522141
  NPD

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1194364075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CORPORATE CENTER DR STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816312",
            "telephone_number": "678-478-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CORPORATE CENTER DR STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816312",
            "telephone_number": "678-478-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL INSIGHT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "DEVESEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-201-7948"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannon Lynn Pearce, PHYSICIAN ASSISTANT

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.