Active NPI
Peaceful Healing Counseling Services, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PEACEFUL HEALING COUNSELING SERVICES, PLLC
- Practice address
- 15010 S Ravinia Ave Ste 12
Orland Park, IL 60462-5353 - Phone
- (708) 971-0470
- NPI assigned
- Feb 15, 2023
- Last updated
- Sep 17, 2024
- 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
- Jennifer Chicoine, M.A., LCPC, CCTP
- Title
- Owner/Sole Member
- Phone
- (708) 971-0470
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
15010 S Ravinia Ave Ste 12
Orland Park, IL 60462-5353
Mailing address
15010 S Ravinia Ave Ste 12
Orland Park, IL 60462-5353
Phone (708) 971-0470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902418486 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
15010 S Ravinia Ave
Ste 12
Orland Park, IL 60462
Phone (708) 971-0470
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Mental Health Counselor
- Orland Park, IL
- NPI 1902418486
-
- Mental Health Counselor
- Homer Glen, IL
- NPI 1477340974
-
- Student in an Organized Health Care Education/Training Program
- Orland Park, IL
- NPI 1265230171
-
- Student in an Organized Health Care Education/Training Program
- Orland Park, IL
- NPI 1265236889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1427755891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15010 S RAVINIA AVE STE 12",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604625353",
"telephone_number": "708-971-0470",
"fax_number": "708-590-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15010 S RAVINIA AVE STE 12",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604625353",
"telephone_number": "708-971-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL HEALING COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "CHICOINE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/SOLE MEMBER",
"authorized_official_telephone_number": "708-971-0470",
"authorized_official_credential": "M.A., LCPC, CCTP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902418486",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.