Peace of Mind Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACE OF MIND BEHAVIORAL HEALTH

Practice address

2425 N Summit Ave
Decatur, IL 62526-3181

Phone

(217) 358-0414

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Tamika L Hall, LCSWNPI 1245879436

Title

President

Phone

(217) 358-0414

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tamika Hall, LCSW

  • Clinical Social Worker
  • Danville, IL
  • NPI 1245879436
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1548021165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N SUMMIT AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263181",
            "telephone_number": "217-358-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N SUMMIT AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263181",
            "telephone_number": "217-358-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-358-0414",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Patterson
• Sara L Patterson
• Taylor Patterson, DT
• Latasha L Patton, LPN
• Paul D. Potter, D.D.S., LTD
• Carma Louise Peckham, PT
• Diana Rae Pehlman-Wilkin, SLP
• Charles Edward Pennix III, M.D.
• Penwell Chiropractic North PC
• Brian David Penwell, D.C.

• Clinical Social Worker in Decatur, IL
• Providers in Decatur, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.