Active NPI
Peace Reconnection Care, PLLC
- Mental Health Counselor
- Hockley, TX
National Provider Identifier
1447828892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PEACE RECONNECTION CARE, PLLC
- Practice address
- 16006 Ronda Dale Dr
Hockley, TX 77447-7714 - Phone
- (601) 600-6752
- NPI assigned
- Jun 14, 2021
- Last updated
- Jun 14, 2021
- 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
- Marvshricka Quinn, LCSW
- Title
- Owner
- Phone
- (601) 600-6752
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16006 Ronda Dale Dr
Hockley, TX 77447-7714
Mailing address
16006 Ronda Dale Dr
Hockley, TX 77447-7714
Phone (601) 600-6752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14150 Huffmeister Rd
Ste 200203
Cypress, TX 77429
Phone (281) 214-0413
Practitioners & affiliated clinicians
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.
-
- Social Worker
- Cypress, TX
- NPI 1821559444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623628800000",
"number": "1447828892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16006 RONDA DALE DR",
"city": "HOCKLEY",
"state": "TX",
"postal_code": "774477714",
"telephone_number": "601-600-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16006 RONDA DALE DR",
"city": "HOCKLEY",
"state": "TX",
"postal_code": "774477714",
"telephone_number": "601-600-6752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE RECONNECTION CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "MARVSHRICKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-600-6752",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hockley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.