Peaceful Haven Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL HAVEN COUNSELING, PLLC

Practice address

1910 Northwest Blvd Ste 206
Coeur D Alene, ID 83814-2676

Phone

(208) 659-0142

Fax

(208) 500-2707

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne M Danner, LCSWNPI 1912524497

Title

Owner

Phone

(208) 659-0142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Suzanne M Danner, LCSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
  • NPI 1912524497
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1255027918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 N HARCOURT DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158470",
            "telephone_number": "208-659-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NORTHWEST BLVD STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142676",
            "telephone_number": "208-659-0142",
            "fax_number": "208-500-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HAVEN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-659-0142",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Patterson
• Laurie Patterson, RD
• Kristin Michelle Paul, MD
• Pawsitive Pathways Psychiatry LLC
• Erik J Payne, M.D.
• Peach Counseling
• Jacob Scott Pearson, DO
• Kristen Leigh Pedersen, OTR/L
• Soren Pedersen
• Annaliese Elizabeth Pelletier, LCSW

• Clinical Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.