Organization Active NPI

Peaceful Living Counseling & Professional Services, Inc.

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1295259893
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PEACEFUL LIVING COUNSELING & PROFESSIONAL SERVICES, INC.
Practice address
2417 Welsh Rd Ste 223
Philadelphia, PA 19114-2211
Phone
(267) 343-5327
Fax
(267) 343-8177
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Ms. Ebony LSW, Acsw, Cams-II, CGT, OWNER
Title
Adminstrator
Phone
(267) 343-5327

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

2417 Welsh Rd Ste 223
Philadelphia, PA 19114-2211

Mailing address

2417 Welsh Rd Ste 223
Philadelphia, PA 19114-2211
Phone (267) 343-5327

National Provider Directory

National Provider Directory

Locations

2417 Welsh Rd
Ste 223
Philadelphia, PA 19114
Phone (267) 343-5327

7244 Castor Ave
#43
Philadelphia, PA 19149

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1295259893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD STE 223",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142211",
            "telephone_number": "267-343-5327",
            "fax_number": "267-343-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD STE 223",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142211",
            "telephone_number": "267-343-5327",
            "fax_number": "267-343-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL LIVING COUNSELING & PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "LSW, ACSW, CAMS-II, CGT",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "267-343-5327",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.