Organization Active NPI

Peace of Mind Therapy, LLC

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1760115695
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PEACE OF MIND THERAPY, LLC
Practice address
14393 Park Ave Ste 200
Victorville, CA 92392-3302
Phone
(442) 327-9135
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Syreeta Green, LMFTNPI 1679025308
Title
Ceo
Phone
(442) 327-9135

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

14393 Park Ave Ste 200
Victorville, CA 92392-3302

Mailing address

14393 Park Ave Ste 200
Victorville, CA 92392-3302
Phone (442) 327-9135

Other practice location 1

14393 Park Ave Ste 200
Victorville, CA 92392-3302
Phone (442) 327-9135

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL peaceofmindtherapy760@gmail.com

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1760115695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14393 PARK AVE STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923923302",
            "telephone_number": "442-327-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14393 PARK AVE STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923923302",
            "telephone_number": "442-327-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14393 Park Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923923302",
            "country_code": "US",
            "telephone_number": "442-327-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACE OF MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-327-9135",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peaceofmindtherapy760@gmail.com",
            "affiliation": "N",
            "address_1": "14393 Park Ave Ste 200",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923923302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.