Organization Active NPI

Peaceful Minds Counseling Inc

  • Mental Health Counselor
  • Diamond Springs, CA
National Provider Identifier
1427866326
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACEFUL MINDS COUNSELING INC
Practice address
493 Pleasant Valley Rd
Ste 210-B
Diamond Springs, CA 95619-9561
Phone
(530) 558-9009
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Courtney Tomblin
Title
Ceo
Phone
(530) 485-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

493 Pleasant Valley Rd
Ste 210-B
Diamond Springs, CA 95619-9561

Mailing address

PO Box 53
Shingle Springs, CA 95682-0053

Other names 1

  • Courtney Tomblin Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521002729 CA Part B Supplier - Clinic/Group Practice 0345769519 Practice locations: Diamond Springs, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1427866326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956820053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 PLEASANT VALLEY RD",
            "address_2": "STE 210-B",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199561",
            "telephone_number": "530-558-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MINDS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "TOMBLIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-485-3374"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtney Tomblin",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.