Organization Active NPI

Peace of Mind Psychotherapy, LLC

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1457596322
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3693 Issued in FL
Legal business name
PEACE OF MIND PSYCHOTHERAPY, LLC
Practice address
819 SW Federal Hwy
Suite 200B
Stuart, FL 34994-2952
Phone
(772) 219-9566
Fax
(772) 220-8381
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Donna Echlin Donan, LMHCNPI 1538304407
Title
President
Phone
(772) 219-9566

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH3693 FL Primary

Addresses

Primary practice location

819 SW Federal Hwy
Suite 200B
Stuart, FL 34994-2952

Mailing address

819 SW Federal Hwy
Suite 200B
Stuart, FL 34994-2952
Phone (772) 219-9566

Other identifiers 1

IdentifierTypeStateIssuer
Z8422OtherFLBCBS FLA

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1457596322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SW FEDERAL HWY",
            "address_2": "SUITE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942952",
            "telephone_number": "772-219-9566",
            "fax_number": "772-220-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SW FEDERAL HWY",
            "address_2": "SUITE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942952",
            "telephone_number": "772-219-9566",
            "fax_number": "772-220-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "ECHLIN DONAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-219-9566",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLA",
            "identifier": "Z8422",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.