Organization Active NPI

Peaceful Healing Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
National Provider Identifier
1427755891
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Jennifer Chicoine, M.A., LCPC, CCTPNPI 1902418486
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1902418486MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.