Organization Active NPI

Peaceful Wisdom Counseling Services, PLLC

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1972289668
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACEFUL WISDOM COUNSELING SERVICES, PLLC
Practice address
123 Pronghorn Deer CT
Garner, NC 27529-7186
Phone
(252) 432-0948
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Tiffany Summers, LCSW
Title
Therapist
Phone
(919) 525-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

123 Pronghorn Deer CT
Garner, NC 27529-7186

Mailing address

1220 Timber Dr E # 1021
Garner, NC 27529-6917
Phone (919) 525-1461

Other names 1

  • Tiffany Summers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1972289668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TIMBER DR E # 1021",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296917",
            "telephone_number": "919-525-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PRONGHORN DEER CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297186",
            "telephone_number": "252-432-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WISDOM COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "919-525-1467",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Summers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiffany Summers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.