Peace of Mind Mental Health Counseling Staten Island PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEACE OF MIND MENTAL HEALTH COUNSELING STATEN ISLAND PLLC

Practice address

153 New Dorp LN
Staten Island, NY 10306-3050

Phone

(646) 258-7970

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Lauren Wood, LMHCNPI 1972007243

Title

Licensed Mental Health Counselor

Phone

(646) 258-7970

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Lauren Wood, LMHC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972007243
  NPD Authorized official
• Ericka Derose

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1760336341
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1457084469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 NEW DORP LN STE 5&6",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063050",
            "telephone_number": "646-258-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MENTAL HEALTH COUNSELING STATEN ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "646-258-7970",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1972007243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pax Christi Hospice, Inc.
• Yefim Paykin, OTR/L
• Michele M Payne, DPT
• PC Contard, MD PC
• Peace of Mind Medical PC
• Peaceful Progress Incorporated
• Andrew Peana, FNP
• John Peana, RPH
• Esther Viner Pearce, MD
• Adina E Pearlman, M.S., CCC-SLP

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.