Jessica Peachey, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002486A Issued in IN

Practice address

17195 Cleveland Rd
South Bend, IN 46635-1415

Phone

(574) 277-0274

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan Family Health and Counseling Center, Inc.

  • Professional Counselor
  • South Bend, IN
  • NPI 1861721136
  Medicare reassignment NPD
• Peachey Counseling LLC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1801619457
  NPD Authorized official

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1386070266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21769 COUNTY ROAD 45",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285810",
            "telephone_number": "574-361-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17195 CLEVELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351415",
            "telephone_number": "574-277-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59466 County Road 113",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465173644",
            "country_code": "US",
            "telephone_number": "574-830-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B. Glass DDS PC
• Paul Michael McLeod DDS, Inc.
• William Edward Paul, DDS
• Yaquiris Paulino, RBT
• Matthew Pazderka
• Michelle Lynn Pearson, M.D.
• Richard B Pearson
• Daniel J Peck, MSW
• Thomas Pedavoli, DDS
• Kelly Peddy, PHARMD, MPA, BCACP

• Mental Health Counselor in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.