Healthcare Provider Details

I. General information

NPI: 1790324697
Provider Name (Legal Business Name): PEACEFUL MINDSET COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 PARK PL NE STE M
CEDAR RAPIDS IA
52402-2013
US

IV. Provider business mailing address

1214 DINA CT STE B
HIAWATHA IA
52233-4706
US

V. Phone/Fax

Practice location:
  • Phone: 319-844-4790
  • Fax:
Mailing address:
  • Phone: 319-382-9636
  • Fax: 319-483-7578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ECHO A KENT
Title or Position: OUTPATIENT THERAPIST
Credential: LMFT
Phone: 319-404-1873