P.E.a.C.E. of Mind Counseling & Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

P.E.A.C.E. OF MIND COUNSELING & CONSULTING LLC

Practice address

10940 N 56TH St Ste 206
Temple Terrace, FL 33617-3005

Phone

(813) 421-4876

Fax

(813) 925-4360

NPI assigned

Nov 11, 2011

Last updated

Jul 9, 2020By 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

Racquel N Findlay, LCSWNPI 1629222351

Title

Ceo

Phone

(813) 421-4876

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Racquel Nicola Findlay, L.C.S.W.

  • Clinical Social Worker
  • Ruskin, FL
  • NPI 1629222351
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1427335959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335750963",
            "telephone_number": "813-421-4876",
            "fax_number": "813-419-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 N 56TH ST STE 206",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173005",
            "telephone_number": "813-421-4876",
            "fax_number": "813-925-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Delwood Breck St",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335707604",
            "country_code": "US",
            "telephone_number": "813-421-4876",
            "fax_number": "813-419-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P.E.A.C.E. OF MIND COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "FINDLAY",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-421-4876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Robert Osburn, M.D.
• Mohamed M Osman, P.T.
• Tina Marie Otero, APRN
• Our Upward Spiral, LLC (Upward Spiral Counseling)
• Amaya Oyola
• Jimmy Padin, PA-C
• Desiree E Padron, PT
• Brian T Palumbo, MD
• Jugal Panchal, PHARMD
• Sarbagya Pandit, MD

• Mental Health Counselor in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.