Active NPI
Peace Place Psychotherapy, LLC
- Professional Counselor
- Gulfport, MS
National Provider Identifier
1972496610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PEACE PLACE PSYCHOTHERAPY, LLC
- Doing business as
- Peace Place Psychotherapy, LLC
- Practice address
- 1520 29TH Ave Ste 16
Gulfport, MS 39501-2843 - Phone
- (228) 860-5175
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Celine Puffer, M.ED, LPC, NCC
- Title
- Provider/Owner
- Phone
- (228) 860-5175
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1520 29TH Ave Ste 16
Gulfport, MS 39501-2843
Mailing address
1415 32ND Ave
Gulfport, MS 39501-2759
Phone (228) 860-5175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200020926 | Medicaid | MS |
Other names 1
- Peace Place Psychotherapy, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Gulfport, MS
- NPI 1750836185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773446400000",
"number": "1972496610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 32ND AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012759",
"telephone_number": "228-860-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 29TH AVE STE 16",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012843",
"telephone_number": "228-860-5175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE PLACE PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A",
"authorized_official_last_name": "PUFFER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "CELINE",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "228-860-5175",
"authorized_official_credential": "M.ED, LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200020926",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace Place Psychotherapy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.