Organization Active NPI

Peace Clinical Solutions LLC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1568157337
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACE CLINICAL SOLUTIONS LLC
Practice address
1385 Fordham Dr Ste 105-190
Virginia Beach, VA 23464-5345
Phone
(757) 957-2594
NPI assigned
Apr 7, 2023
Last updated
Apr 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Jenay Garrett, PH.D., LPCNPI 1558860585
Title
Owner/Therapist
Phone
(757) 957-2594

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 Primary

Addresses

Primary practice location

1385 Fordham Dr Ste 105-190
Virginia Beach, VA 23464-5345

Mailing address

1385 Fordham Dr Ste 105-190
Virginia Beach, VA 23464-5345

National Provider Directory

National Provider Directory

Locations

1385 Fordham Dr
Ste 105190
Virginia Beach, VA 23464
Phone (579) 572-5947

Practitioners & affiliated clinicians

Practitioners 1

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": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1568157337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FORDHAM DR STE 105-190",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 FORDHAM DR STE 105-190",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645345",
            "telephone_number": "757-957-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE CLINICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JENAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "757-957-2594",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.