Organization Active NPI

Peace of Mind Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
National Provider Identifier
1922636323
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEACE OF MIND COUNSELING, PLLC
Practice address
2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585
Phone
(701) 202-5908
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Amanda Lynn Langan, LPCCNPI 1174076756
Title
Mental Health Counselor/ Owner
Phone
(701) 202-5908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585

Mailing address

2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585
Phone (701) 202-5908

Other identifiers 1

IdentifierTypeStateIssuer
1468750MedicaidND

Other names 1

  • Peace of Mind Counseling Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730004678 ND Part B Supplier - Clinic/Group Practice 7517404221 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

2718 Gateway Ave
Ste 104
Bismarck, ND 58503
Phone (701) 202-5908

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1922636323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 GATEWAY AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030585",
            "telephone_number": "701-202-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 GATEWAY AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030585",
            "telephone_number": "701-202-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "LANGAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/ OWNER",
        "authorized_official_telephone_number": "701-202-5908",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468750",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace of Mind Counseling",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Peace of Mind Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.