Organization Active NPI

Peaceful Mind II LLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1760133664
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACEFUL MIND II LLC
Practice address
6715 N May Ave Ste 102
Oklahoma City, OK 73116-3422
Phone
(405) 418-7574
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Jordan Elisabeth FeldmannNPI 1780131847
Title
LPC
Phone
(405) 418-7574

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6715 N May Ave Ste 102
Oklahoma City, OK 73116-3422

Mailing address

14621 Exmoor Cir
Oklahoma City, OK 73142-7814
Phone (405) 313-2153

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://peacefulmindllc.org

National Provider Directory

National Provider Directory

Locations

6715 N May Ave
Ste 102
Oklahoma City, OK 73116
Phone (405) 418-7574

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1760133664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 EXMOOR CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731427814",
            "telephone_number": "405-313-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 N MAY AVE STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163422",
            "telephone_number": "405-418-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "FELDMANN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "405-418-7574"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://peacefulmindllc.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "6715 N May Ave Ste 102",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731163422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.