Organization Active NPI

Peaceful Mind Counseling

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1811720691
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACEFUL MIND COUNSELING
Practice address
12935 S West Bay Shore Dr # 390
Traverse City, MI 49684-6298
Phone
(231) 202-2650
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Courtney Whinnery, LMSW
Title
Practice Owner
Phone
(231) 202-2650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

12935 S West Bay Shore Dr # 390
Traverse City, MI 49684-6298

Mailing address

12935 S West Bay Shore Dr # 390
Traverse City, MI 49684-6298
Phone (231) 202-2650

National Provider Directory

National Provider Directory

Locations

12935 S West Bay Shore Dr
#390
Traverse City, MI 49684
Phone (231) 202-2650

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1811720691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR # 390",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298",
            "telephone_number": "231-202-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR # 390",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846298",
            "telephone_number": "231-202-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "WHINNERY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "231-202-2650",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.