Organization Active NPI

Enter Peace, PSC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1689043788
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1512 Issued in KY
Legal business name
ENTER PEACE, PSC
Practice address
911 Barret Ave
Front Office
Louisville, KY 40204-2048
Phone
(502) 585-2979
Fax
(502) 587-9713
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Mr. Donald Marvin Vowels, MA, MSSW,LCSW
Title
President
Phone
(502) 585-2979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1512 KY Primary

Addresses

Primary practice location

911 Barret Ave
Front Office
Louisville, KY 40204-2048

Mailing address

911 Barret Ave
Front Office
Louisville, KY 40204-2048
Phone (502) 585-2979

National Provider Directory

National Provider Directory

Locations

911 Barret Ave
Frnt
Louisville, KY 40204
Phone (502) 585-2979

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1689043788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BARRET AVE",
            "address_2": "FRONT OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042048",
            "telephone_number": "502-585-2979",
            "fax_number": "502-587-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BARRET AVE",
            "address_2": "FRONT OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042048",
            "telephone_number": "502-585-2979",
            "fax_number": "502-587-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTER PEACE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "VOWELS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-585-2979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MSSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.