NPIMap

Organization Active NPI

Peace of Mind, Inc.

  • Professional Counselor
  • Lillington, NC
National Provider Identifier
1417144106
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4963 Issued in NC
Legal business name
PEACE OF MIND, INC.
Practice address
817 W Front St
Lillington, NC 27546-9735
Phone
(910) 814-2197
Fax
(910) 814-2167
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Ms. Molly Lynn Vanduser, MS ED, LPC, NCCNPI 1659354660
Title
President
Phone
(910) 814-2197

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4963 NC Primary

Addresses

Primary practice location

817 W Front St
Lillington, NC 27546-9735

Mailing address

PO Box 2088
817 West Front Street
Lillington, NC 27546-9735
Phone (910) 814-2197

Other identifiers 5

IdentifierTypeStateIssuer
600502017OtherNCMAGELLAN
P-130377OtherNCMEDCOST
6006249MedicaidNC
147JEOtherNCBLUE CROSS
370742OtherNCTRICARE PRIME AND STANDARD

Other names 1

  • Molly VanDuser, LPC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103000823 NC Part B Supplier - Clinic/Group Practice 4284992827 Receives reassigned benefits from 6 practitioners
Practice locations: Lillington, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1417144106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "address_2": "817 WEST FRONT STREET",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469735",
            "telephone_number": "910-814-2197",
            "fax_number": "910-814-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W FRONT ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469735",
            "telephone_number": "910-814-2197",
            "fax_number": "910-814-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "VANDUSER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-814-2197",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS ED, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600502017",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "P-130377",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006249",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "147JE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME AND STANDARD",
            "identifier": "370742",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molly VanDuser, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.

Verify at the official NPI Registry.