Peace of Mind Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4062 Issued in MD

Legal business name

PEACE OF MIND THERAPY, LLC

Practice address

9640 Marlboro Pike
Upper Marlboro, MD 20772-0000

Phone

(240) 620-4421

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jermaine Graves, MA, LCPC, LPCNPI 1922344597

Title

Owner

Phone

(240) 620-4421

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.

• Jermaine Graves, LCPC, LPC

  • Professional Counselor
  • Upper Marlboro, MD
  • NPI 1922344597
  NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1598247454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 RODIN COURT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724802",
            "telephone_number": "240-620-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207720000",
            "telephone_number": "240-620-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 P Street NW",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20036",
            "country_code": "US",
            "telephone_number": "240-620-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACE OF MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-620-4421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Wendy Patterson Dorsey, L.G.P.C.
• Clinton Patterson
• Sharman Patrice Patterson
• Jacqueline Angella Payne-Borden, PHD, APRN-PMH-BC
• Kyla Payne
• Irene Pechase
• Pediatric Wellness Center PA
• Fatimah Peleowo
• Jill A Pellicoro, MD
• Monica Peravali

• Mental Health Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.