Organization Active NPI

Cultured Peace Services LLC

  • Public Health or Welfare Agency
  • Charlotte, NC
National Provider Identifier
1992467047
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CULTURED PEACE SERVICES LLC
Practice address
7209 E W T Harris Blvd Ste J306
Charlotte, NC 28227-1063
Phone
(980) 202-2368
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Jessica Wilson, EOLD, CLD
Title
Doula/ Wellness Coach
Phone
(980) 202-2368

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X
Lactation Consultant (Non-RN)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174N00000X
Lay MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175M00000X
Peer SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175T00000X
Local Education Agency (LEA) 251300000X
Community Based Hospice Care Agency 251G00000X
Public Health or Welfare Agency 251K00000X Primary
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X
Non-Pharmacy Dispensing Site 332900000X
Private Vehicle 347C00000X
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374J00000X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

7209 E W T Harris Blvd Ste J306
Charlotte, NC 28227-1063

Mailing address

7209 E W T Harris Blvd Ste J
#306
Charlotte, NC 28227-1063

Other names 1

  • Crowning Jewels International Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Crowningjewels@culturedpeace.net Health Information Exchange (HIE)
Direct Messaging Address crowningjewels@culturedpeace.net

National Provider Directory

National Provider Directory

Locations

7209 E W T Harris Blvd
Ste J306
Charlotte, NC 28227
Phone (980) 202-2368

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1992467047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 E W T HARRIS BLVD STE J",
            "address_2": "#306",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 E W T HARRIS BLVD STE J306",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271063",
            "telephone_number": "980-202-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURED PEACE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DOULA/ WELLNESS COACH",
        "authorized_official_telephone_number": "980-202-2368",
        "authorized_official_credential": "EOLD, CLD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Crowningjewels@culturedpeace.net",
            "affiliation": "N",
            "endpointDescription": "Direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7209 E W T Harris Blvd Ste J306",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282271063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crowningjewels@culturedpeace.net",
            "affiliation": "N",
            "address_1": "7209 E W T Harris Blvd Ste J306",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282271063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crowning Jewels International",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crowning Jewels International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.