Active NPI
Peaceful Mind Therapy, P.a.
- Mental Health Counselor
- Naples, FL
National Provider Identifier
1255720389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12440
- Legal business name
- PEACEFUL MIND THERAPY, P.A.
- Practice address
- 2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421 - Phone
- (239) 272-6214
- Fax
- (239) 596-8901
- NPI assigned
- Jan 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jane Rose Simmons, LMHC
- Title
- Owner/President
- Phone
- (239) 272-6214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12440 | FL | Primary |
Addresses
Primary practice location
2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421
Mailing address
2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421
Phone (239) 272-6214
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421107200000",
"number": "1255720389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 IMMOKALEE RD",
"address_2": "SUITE 216",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101421",
"telephone_number": "239-272-6214",
"fax_number": "239-596-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 IMMOKALEE RD",
"address_2": "SUITE 216",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101421",
"telephone_number": "239-272-6214",
"fax_number": "239-596-8901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL MIND THERAPY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "239-272-6214",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.