Peaceful Minds Counseling and Consulting, PLLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEACEFUL MINDS COUNSELING AND CONSULTING, PLLC.

Practice address

13000 S Tryon St Ste F165
Charlotte, NC 28278-7652

Phone

(704) 492-8525

NPI assigned

Jul 21, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siedah Martin, LCSWANPI 1437696697

Title

Owner/Licensed Clinical Social Work

Phone

(980) 224-0239

Specialties & licenses 1

Addresses

Locations

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.

• Siedah Denise Martin, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1437696697
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659006740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F165",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-492-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F165",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-492-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MINDS COUNSELING AND CONSULTING, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SIEDAH",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "980-224-0239",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peaceful Place Christian Counseling
• Peaceful Places, Inc.
• Peaceful Solution Counseling Services, Inc.
• Peacful Alternative Resources,Inc
• Peach State Medical Practice, PC (Kindbody of NC Medical Practice, PC)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.