Intervention for Peace Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INTERVENTION FOR PEACE INC.

Practice address

689 W Liberty St Ste 7
Medina, OH 44256-2268

Phone

(330) 725-1298

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Teresa Davidson

Title

Director of Operations

Phone

(330) 725-1298

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@ifpeace.com

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1245947266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 W LIBERTY ST STE 7",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562268",
            "telephone_number": "330-725-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W LIBERTY ST STE 7",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562268",
            "telephone_number": "330-725-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION FOR PEACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "330-725-1298"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965451",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@ifpeace.com",
            "affiliation": "N",
            "endpointDescription": "Administrative Assistant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "689 W Liberty St Ste 7",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442562268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jay Inman, PT
• Inner Peace Counseling, LLC
• Inpsychful Minds LLC
• Integrative Counseling Services
• Integrity Counseling LLC
• Helen F Jablonowski, RN
• Laura Rae Jackam, P.A.
• Glenna S Jackson, M.D.
• Krista Jackson, LPN
• Qiana Caprice Jackson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Medina, OH
• Providers in Medina, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.