Peaceful Journey'S Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL JOURNEY'S COUNSELING, LLC

Practice address

179 W Chestnut Hill Rd Ste 5
Newark, DE 19713-2210

Phone

(302) 894-2107

Fax

(302) 355-4092

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Scott Chain

Title

Office Manager

Phone

(302) 894-2107

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kym A Reynolds, LCSW

  • Clinical Social Worker
  • Newark, DE
  • NPI 1558516427
  Medicare reassignment NPD
• Kelly Elizabeth Green, LPCMH

  • Mental Health Counselor
  • Hockessin, DE
  • NPI 1902595150
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1700519840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD STE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-894-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD STE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-894-2107",
            "fax_number": "302-355-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL JOURNEY'S COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "CHAIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-894-2107"
    },
    "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": "375407",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kym@peacefuljourneyssandtray.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "179 W Chestnut Hill Rd Ste 5",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pdi Health de LLC
• Pdi Health de LLC
• Melissa Pe, DO
• Pea and the Pod Chiropractic, PA
• Peace of Mind Wellness LLC
• Stephen A Pearlman, MD
• Aidan Peat
• Monica Tanisha Peay-Matthews, MS,LBS
• Richard Gerry Peck Jr., LACMH, NCC
• Christina Marie Pecorella, N.P.

• Clinical Social Worker in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.

Verify at the official NPI Registry.