Organization Active NPI

Peace Partners Consulting Group

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1316638588
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PEACE PARTNERS CONSULTING GROUP
Practice address
151 W Cleveland St
Stockton, CA 95204-5306
Phone
(916) 470-8628
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Mr. Keiland HendersonNPI 1093019846
Title
Managing Partners
Phone
(916) 470-8628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

151 W Cleveland St
Stockton, CA 95204-5306

Mailing address

6507 Pacific Ave # 225
Stockton, CA 95207-3717
Phone (916) 470-8628

Other names 1

  • Peace Partners Group Doing business as

National Provider Directory

National Provider Directory

Locations

6507 Pacific Ave
Stockton, CA 95207
Phone (707) 350-4202

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1316638588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 PACIFIC AVE # 225",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073717",
            "telephone_number": "916-470-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W CLEVELAND ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045306",
            "telephone_number": "916-470-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE PARTNERS CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KEILAND",
        "authorized_official_title_or_position": "MANAGING PARTNERS",
        "authorized_official_telephone_number": "916-470-8628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Partners Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.