Active NPI
Peace Clinical Solutions LLC
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1568157337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenay Garrett, PH.D., LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.