NPIMap

Organization Active NPI

Peace Within, Peace Throughout

  • Mental Health Counselor
  • Des Plaines, IL
National Provider Identifier
1639930522
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACE WITHIN, PEACE THROUGHOUT
Practice address
31 Nicholas Dr E
Des Plaines, IL 60016-6217
Phone
(224) 688-9055
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Nicolette Mendicino, LCPCNPI 1932713989
Title
Ceo
Phone
(224) 688-9055

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

31 Nicholas Dr E
Des Plaines, IL 60016-6217

Mailing address

31 Nicholas Dr E
Des Plaines, IL 60016-6217
Phone (224) 688-9055

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": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1639930522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NICHOLAS DR E",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166217",
            "telephone_number": "224-688-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NICHOLAS DR E",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166217",
            "telephone_number": "224-688-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE WITHIN, PEACE THROUGHOUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MENDICINO",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-688-9055",
        "authorized_official_credential": "LCPC"
    },
    "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 Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.