In One Peace LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-14423 Issued in AZ

Legal business name

IN ONE PEACE LLC

Practice address

6810 E Broadway Blvd
Suite 102
Tucson, AZ 85710-2838

Phone

(520) 302-4116

NPI assigned

Nov 20, 2014

Last updated

Nov 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Dorland, MS MED LPC DBHNPI 1063842375

Title

Managing Member/Owner

Phone

(520) 302-4116

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jessica Dorland, MS MED LPC DBH

  • Professional Counselor
  • Tucson, AZ
  • NPI 1063842375
  NPD (past) Authorized official
• Robert R Plymyer, M.S., L.P.C.

  • Professional Counselor
  • Tucson, AZ
  • NPI 1811906290
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1356748222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E BROADWAY BLVD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102838",
            "telephone_number": "520-302-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E BROADWAY BLVD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102838",
            "telephone_number": "520-302-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN ONE PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "DORLAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "520-302-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS MED LPC DBH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-14423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.