Active NPI
Your Peace of Mind Therapeutic Services, LLC
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1821799396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- YOUR PEACE OF MIND THERAPEUTIC SERVICES, LLC
- Practice address
- 682 Prospect Ave Ste 103
Hartford, CT 06105-4238 - Phone
- (860) 663-8131
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jessica Lazu, LCSW
- Title
- Business Owner
- Phone
- (860) 663-8131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hartford, CT
- NPI 1891679072
-
- Social Worker
- Hartford, CT
- NPI 1083471809
-
- Social Worker
- Hartford, CT
- NPI 1063338515
-
- Family Nurse Practitioner
- Rocky Hill, CT
- NPI 1659825974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230621002192 | CT | Part B Supplier - Clinic/Group Practice | 3577921618 |
Receives reassigned benefits from 1 practitioner Practice locations: Hartford, CT; Rocky Hill, CT |
National Provider Directory
National Provider DirectoryLocations
682 Prospect Ave
Ste 103
Hartford, CT 06105
Phone (860) 490-7236
53 New Britain Ave
Ste 7
Rocky Hill, CT 06067
Phone (860) 436-5803
175 Capital Blvd
Ste 431
Rocky Hill, CT 06067
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
682 Prospect Ave Ste 103
Hartford, CT 06105-4238
Mailing address
682 Prospect Ave Ste 103
Hartford, CT 06105-4238
Phone (860) 663-8131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2023.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1821799396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE STE 103",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-663-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE STE 103",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-663-8131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR PEACE OF MIND THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "LAZU",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "860-663-8131",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.