Organization Active NPI

Peace Within Psychotherapy

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1548834898
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEACE WITHIN PSYCHOTHERAPY
Practice address
5850 Waterloo Rd
Columbia, MD 21045-1941
Phone
(443) 747-4141
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Bathsheba Gray, LCPCNPI 1972052850
Title
Therapist
Phone
(443) 466-1484

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5850 Waterloo Rd
Columbia, MD 21045-1941

Mailing address

14 Brookside Dr
Perryville, MD 21903-2106
Phone (443) 466-1484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kasyanlea@hotmail.com

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1548834898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOKSIDE DR",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219032106",
            "telephone_number": "443-466-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451941",
            "telephone_number": "443-747-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE WITHIN PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BATHSHEBA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "443-466-1484",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kasyanlea@hotmail.com",
            "affiliation": "N",
            "address_1": "5850 Waterloo Rd",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210451941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.