Inspired Peace Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INSPIRED PEACE COUNSELING SERVICES

Practice address

3009 Winter Garden Dr
Valparaiso, IN 46385-7140

Phone

(219) 508-5646

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Dominique Jackson, LCSWNPI 1891382339

Title

Coo/ Psychotherapist

Phone

(219) 613-7872

Specialties & licenses 4

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Practitioners 1

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

• Dominique Jackson, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1891382339
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1801487574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 WINTER GARDEN DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857140",
            "telephone_number": "219-508-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 WINTER GARDEN DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857140",
            "telephone_number": "219-508-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED PEACE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "COO/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "219-613-7872",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1801487574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1891382339",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300067700",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djp@inspiredpeace.org",
            "affiliation": "N",
            "address_1": "3009 Winter Garden Dr",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463857140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.