Peaceful Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEACEFUL MENTAL HEALTH LLC

Practice address

3616 Byron Cir
Frederick, MD 21704-7812

Phone

(240) 205-6310

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Chouchouna Kalamba, NPNPI 1407580210

Title

Pmhnp

Phone

(240) 205-6310

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Chouchouna M Kalamba

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1407580210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1891556700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 BYRON CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047812",
            "telephone_number": "240-205-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 BYRON CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047812",
            "telephone_number": "240-205-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "KALAMBA",
        "authorized_official_first_name": "CHOUCHOUNA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "240-205-6310",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Paydar, DDS
• Kassandra A Payes
• James C Payne, PHARMD
• Doreen L Paynter, CRNP
• Peace of Mind Therapeutic Services & Solutions LLC
• Peaceful Mind Psychotherapy LLC
• Stephen Peach
• Peak Acupuncture and Wellness, LLC
• Rose Marene Pearl, N.P.
• Pearle Vision Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.