NPIMap

Organization Active NPI

Peaceful Minds LLC

  • Professional Counselor
  • Rockville, MD
National Provider Identifier
1649817909
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEACEFUL MINDS LLC
Practice address
6131 Executive Blvd
Rockville, MD 20852-3901
Phone
(256) 710-3413
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Anita M Roy, MA, LCPC, NCCNPI 1184830242
Title
Psychotherapist
Phone
(256) 710-3413

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

6131 Executive Blvd
Rockville, MD 20852-3901

Mailing address

7444 Ottenbrook Ter
Rockville, MD 20855-1988
Phone (256) 710-3413

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1649817909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 OTTENBROOK TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551988",
            "telephone_number": "256-710-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "256-710-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "256-710-3413",
        "authorized_official_credential": "MA, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.