Organization Active NPI

Peaceful Mind Therapy, P.a.

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1255720389
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12440 Issued in FL
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

Updated by the provider on Jan 13, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.