Peaceful Heart Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEACEFUL HEART THERAPY, PLLC

Practice address

205 S 51St St # 9E
Renton, WA 98055-7942

Phone

(425) 525-9792

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Seolah Park, LMHCNPI 1093270704

Title

Sole Owner

Phone

(425) 525-9792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Seolah Park

  • Mental Health Counselor
  • Federal Way, WA
  • NPI 1093270704
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1497521694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 51ST ST # 9E",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557942",
            "telephone_number": "425-525-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 51ST ST # 9E",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557942",
            "telephone_number": "425-525-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEART THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEOLAH",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "425-525-9792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Roger Patten, DDS MSD
• Laird Patterson
• Connie C Patulot, MD
• Pawandeep Kaur DDS PLLC
• Adam Christopher Pazder, R.D.
• Peak Sports & Spine Physical Therapy-Renton, P.S.
• Katherine Pearce, NP
• William A Pearce, MD
• Jade Faith Pearson, LMT
• Sarah Pedersen

• Mental Health Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.