NPIMap

Organization Active NPI

Peaceful Healing Soul Counseling Center, LLC

  • Mental Health Counselor
  • Brockton, MA
National Provider Identifier
1841801461
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACEFUL HEALING SOUL COUNSELING CENTER, LLC
Practice address
130 Spring St Apt 2
Brockton, MA 02301-4371
Phone
(774) 240-7797
Fax
(508) 510-6538
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Claudia I Montes, LMHCNPI 1396124822
Title
Founder/ Owner/ Manager/Therapist
Phone
(774) 240-7797

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

130 Spring St Apt 2
Brockton, MA 02301-4371

Mailing address

130 Spring St Apt 2
Brockton, MA 02301-4371
Phone (774) 240-7797

Other identifiers 1

IdentifierTypeStateIssuer
1396124822MedicaidMA

Other names 1

  • Peaceful Healing Soul Counseling Center, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BROCKTON Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Peaceful Healing Soul Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1841801461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SPRING ST APT 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014371",
            "telephone_number": "774-240-7797",
            "fax_number": "508-510-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SPRING ST APT 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014371",
            "telephone_number": "774-240-7797",
            "fax_number": "508-510-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEALING SOUL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FOUNDER/ OWNER/ MANAGER/THERAPIST",
        "authorized_official_telephone_number": "774-240-7797",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396124822",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BROCKTON",
            "affiliation": "N",
            "endpointDescription": "brockton",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BROCKTON",
            "address_1": "130 Spring St Apt 2",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023014371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Peaceful Healing Soul Counseling Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.