Active NPI
Mindful Peace Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wimauma, FL
National Provider Identifier
1336954411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MINDFUL PEACE COUNSELING SERVICES
- Practice address
- 10212 Carloway Hills Dr
Wimauma, FL 33598-6191 - Phone
- (850) 625-8428
- NPI assigned
- Feb 7, 2025
- Last updated
- Mar 3, 2025
- 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
- Ashley Holloway, LMHC
- Title
- Ceo
- Phone
- (850) 625-8428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
10212 Carloway Hills Dr
Wimauma, FL 33598-6191
Mailing address
10212 Carloway Hills Dr
Wimauma, FL 33598-6191
Phone (850) 625-8428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Panama City, FL
- NPI 1083080212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1336954411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 CARLOWAY HILLS DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335986191",
"telephone_number": "850-625-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10212 CARLOWAY HILLS DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335986191",
"telephone_number": "850-625-8428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL PEACE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-07",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "HOLLOWAY",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-625-8428",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.