Organization Active NPI

Peaceful Heart Family Counseling, a Professional Corporation

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1497409940
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACEFUL HEART FAMILY COUNSELING, A PROFESSIONAL CORPORATION
Doing business as
Peaceful Heart Family Counseling, A Professional Corporation
Practice address
1501 Corporate Way Ste 200
Sacramento, CA 95831-3887
Phone
(530) 830-2699
Fax
(916) 244-0953
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Mrs. Mania Doucette, LMFTNPI 1548545882
Title
Owner/Founder
Phone
(530) 830-2699

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

1501 Corporate Way Ste 200
Sacramento, CA 95831-3887

Mailing address

68 Applewood Dr
Lodi, CA 95242-8319
Phone (530) 830-2699

Other identifiers 1

IdentifierTypeStateIssuer
1548545882MedicaidCA

Other names 1

  • Peaceful Heart Family Counseling, A Professional Corporation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.peacefulhfc.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1497409940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 APPLEWOOD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952428319",
            "telephone_number": "530-830-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE WAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313887",
            "telephone_number": "530-830-2699",
            "fax_number": "916-244-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEART FAMILY COUNSELING, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "MANIA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "530-830-2699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548545882",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.peacefulhfc.com",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 Corporate Way Ste 200",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958313887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Peaceful Heart Family Counseling, A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.