Peaceful Rain Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

69472 Issued in TX

Legal business name

PEACEFUL RAIN COUNSELING CENTER

Practice address

602 Strada Cir
Suite 118
Mansfield, TX 76063-3201

Phone

(214) 476-0996

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Stephanie Marques

Title

Owner / Counselor

Phone

(214) 476-0996

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1851795801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 CLAY ACADEMY BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752363025",
            "telephone_number": "214-476-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR",
            "address_2": "SUITE 118",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "214-476-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL RAIN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER / COUNSELOR",
        "authorized_official_telephone_number": "214-476-0996"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "69472",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "69472",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "69472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.