Peacock Industries Counseling & Research Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEACOCK INDUSTRIES COUNSELING & RESEARCH SERVICES, INC

Practice address

1876 N University Dr Ste 200C
Plantation, FL 33322-4131

Phone

(954) 472-2377

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Faith Monica Green

Title

President & Ceo

Phone

(954) 472-2377

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Faith Monica Bird, EDD, LMHC, CAP

  • Mental Health Counselor
  • Plantation, FL
  • NPI 1215073986
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1912264409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 N UNIVERSITY DR STE 200C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 N UNIVERSITY DR STE 200C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224131",
            "telephone_number": "954-472-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACOCK INDUSTRIES COUNSELING & RESEARCH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "954-472-2377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilya Pavlov, DO
• Paola Pawlicki, LMHC
• Courtney Payne, MD
• Peaceful Petals Therapy, LLC
• Peaceful Prana Therapy, LLC
• Laurence Drew Pearson, MD
• Kathryn Rose Pebanco, APRN
• Grete Amy Peck, DO
• Pedi Pec, Inc
• Pediatric Associates of Northeast Florida, LLC

• Mental Health Counselor in Plantation, FL
• Providers in Plantation, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.