Organization Active NPI

Peony Counseling

  • Clinical Social Worker
  • Richardson, TX
National Provider Identifier
1942739073
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70511 Issued in TX
Legal business name
PEONY COUNSELING
Practice address
718 W Arapaho Rd Ste 100
Richardson, TX 75080-4160
Phone
(214) 236-7328
NPI assigned
Jun 12, 2017
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Alice Bradley-Harmon, LCSWNPI 1023258191
Title
Owner
Phone
(214) 810-1836

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
Clinical Social Worker 1041C0700X 70511 TX Primary

Addresses

Primary practice location

718 W Arapaho Rd Ste 100
Richardson, TX 75080-4160

Mailing address

1517 N Waterview Dr
Richardson, TX 75080-2935
Phone (214) 236-7328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170809002077 TX Part B Supplier - Clinic/Group Practice 2264703222 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

1121 Hampshire Ln
Ste 135
Richardson, TX 75080
Phone (214) 236-7328

718 W Arapaho Rd
Ste 100
Richardson, TX 75080
Phone (214) 236-7328

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1942739073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N WATERVIEW DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802935",
            "telephone_number": "214-236-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W ARAPAHO RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804160",
            "telephone_number": "214-236-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEONY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "BRADLEY-HARMON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-810-1836",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "70511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.