Active NPI
Peace Within Counseling LLC
- Mental Health Counselor
- Meridian, ID
National Provider Identifier
1376203448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PEACE WITHIN COUNSELING LLC
- Practice address
- 1860 W Glade Creek St
Meridian, ID 83646-4310 - Phone
- (208) 941-3142
- NPI assigned
- Dec 30, 2021
- 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
- Tina Thomas, LPC
- Title
- LPC
- Phone
- (208) 941-3142
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1860 W Glade Creek St
Meridian, ID 83646-4310
Mailing address
1860 W Glade Creek St
Meridian, ID 83646-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240201000133 | ID | Part B Supplier - Clinic/Group Practice | 3577916980 |
Receives reassigned benefits from 1 practitioner Practice locations: Boise, ID |
National Provider Directory
National Provider DirectoryLocations
6126 W State St
Boise, ID 83703
Phone (208) 273-5250
6126 W State St
Ste 209
Boise, ID 83703
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": "1640822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1376203448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 W GLADE CREEK ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836464310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 W GLADE CREEK ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836464310",
"telephone_number": "208-941-3142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE WITHIN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-30",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "208-941-3142",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.