Active NPI
Peaceful Mind Counseling
- Clinical Social Worker
- Traverse City, MI
National Provider Identifier
1811720691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.