Peaceable Life Therapeutic Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PEACEABLE LIFE THERAPEUTIC SERVICES, INC.

Practice address

2857 Stuarts Draft Hwy Unit 121
Stuarts Draft, VA 24477-2692

Phone

(540) 414-4561

Fax

(877) 363-9068

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meneika L Chandler, LPCNPI 1295396836

Title

Owner

Phone

(540) 414-4561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Jo Brinkley, LCSW

  • Clinical Social Worker
  • Crimora, VA
  • NPI 1316565518
  Medicare reassignment NPD
• Meneika L Chandler, LPC

  • Professional Counselor
  • Stuarts Draft, VA
  • NPI 1295396836
  NPD Authorized official
• Suzanne E Klein, MS, CRC, RIC

  • Counselor
  • Stuarts Draft, VA
  • NPI 1215751060
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1902468846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244770962",
            "telephone_number": "540-414-4561",
            "fax_number": "877-363-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 STUARTS DRAFT HWY UNIT 121",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244772692",
            "telephone_number": "540-414-4561",
            "fax_number": "877-363-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEABLE LIFE THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "MENEIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-414-4561",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Simms Mikell, MSED, ATC, CSCS
• Richard B. Miller, M.D.
• Candy D. Morris
• Kayode Ayodele Ola, RPH
• Jessica Overby, FNP
• Meghan Peters
• April L. Pierce, N.P.
• Premise Health of Virginia Medical PC (McKee Foods Family Health Center Stuarts Draft)
• PT Plus at Stuarts Draft, LLC
• Quad/Med, LLC

• Professional Counselor in Stuarts Draft, VA
• Providers in Stuarts Draft, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.