Peace of Mind Counseling, Consulting, and Supervision LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012915 Issued in MI

Legal business name

PEACE OF MIND COUNSELING, CONSULTING, AND SUPERVISION LLC

Practice address

4025 Holt Rd Ste 205
Holt, MI 48842-6019

Phone

(517) 881-7231

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ian David Shafer, MA, LPCNPI 1639575038

Title

Owner

Phone

(517) 316-6600

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian David Shafer, MA, LPC

  • Professional Counselor
  • Holt, MI
  • NPI 1639575038
  Medicare reassignment NPD Authorized official
• Erin Schaeffer, LLC

  • Mental Health Counselor
  • Holt, MI
  • NPI 1245038504
  NPD
• Meghan Jean Schoenberg, MS, LLC

  • Counselor
  • Holt, MI
  • NPI 1518775980
  NPD

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1881197168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HOLT RD STE 205",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426019",
            "telephone_number": "517-881-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 HOLT RD STE 205",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426019",
            "telephone_number": "517-881-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND COUNSELING, CONSULTING, AND SUPERVISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-316-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012915",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Oswald, LLMSW
• James Robert Owens, MA LPC
• Pamela Thompson DO PLLC
• Darshil Patel, PT
• Amanda Paulson, LMSW, MHP, CMHP
• Sharon Ann Peek, LPC
• Zachary Scott Peterson
• Madison Phillipich, LLMSW
• Steven Pingston, AT
• Katherine Potter

• Professional Counselor in Holt, MI
• Providers in Holt, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.