NPIMap

Organization Active NPI

Peaceful Pride Counseling LLC

  • Adult Mental Health Clinic/Center
  • Midland, MI
National Provider Identifier
1356941280
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PEACEFUL PRIDE COUNSELING LLC
Practice address
3916 Nottingham Ter
Midland, MI 48642-6217
Phone
(989) 321-0391
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Daphne Hamburg, LMSW
Title
Clinician
Phone
(989) 341-4841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3916 Nottingham Ter
Midland, MI 48642-6217

Mailing address

3916 Nottingham Ter
Midland, MI 48642-6217
Phone (989) 321-0391

Other practice location 1

3916 Nottingham Ter
Midland, MI 48642-6217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1356941280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 NOTTINGHAM TER",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426217",
            "telephone_number": "989-321-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 NOTTINGHAM TER",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426217",
            "telephone_number": "989-321-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3916 Nottingham Ter",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486426217",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL PRIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HAMBURG",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "989-341-4841",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.