Healthcare Provider Details

I. General information

NPI: 1144154246
Provider Name (Legal Business Name): PEACEFUL MIND COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 E BRADFORD PKWY STE C
SPRINGFIELD MO
65804-6884
US

IV. Provider business mailing address

1426 E BRADFORD PKWY STE C
SPRINGFIELD MO
65804-6884
US

V. Phone/Fax

Practice location:
  • Phone: 417-501-6057
  • Fax:
Mailing address:
  • Phone: 417-501-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER ROBIN KRAUSE
Title or Position: PRESIDENT
Credential: LPC
Phone: 573-289-7160