Active NPI
Peaceful Pathways LLC
- Clinical Social Worker
- Peru, IN
National Provider Identifier
1689420275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PEACEFUL PATHWAYS LLC
- Doing business as
- Peace of Mind
- Practice address
- 2484 S Business 31 Ste D
Peru, IN 46970-7325 - Phone
- (765) 472-2722
- NPI assigned
- Apr 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leigh Gibbs, LCSW
- Title
- Owner
- Phone
- (765) 480-1050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2484 S Business 31 Ste D
Peru, IN 46970-7325
Mailing address
2484 S Business 31 Ste D
Peru, IN 46970-7325
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073371274 | Medicaid | IN | |
| 1346824729 | Other | IN | COMMERCIAL |
| 1346824729 | Medicaid | IN | |
| 1073371274 | Other | IN | COMMERCIAL |
Other names 1
- Peace of Mind
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2484 S Business 31
Ste D
Peru, IN 46970
Phone (765) 472-2722
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Peru, IN
- NPI 1073371274
-
- Clinical Social Worker
- Peru, IN
- NPI 1346824729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1689420275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 S BUSINESS 31 STE D",
"city": "PERU",
"state": "IN",
"postal_code": "469707325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 S BUSINESS 31 STE D",
"city": "PERU",
"state": "IN",
"postal_code": "469707325",
"telephone_number": "765-472-2722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL PATHWAYS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-480-1050",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073371274",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "1346824729",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346824729",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "1073371274",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace of Mind",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.