PEACE CONNECTION PLLC
NPI 1306564976
Social Worker - Clinical in Mystic, CT
About Peace Connection Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACE CONNECTION PLLC (NPI 1306564976) is a healthcare organization registered as a clinical in Mystic, Connecticut and active in the NPI registry since August 2022. The organization lists Jeannine Cleaver, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peace Connection Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Peace Connection PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peace Connection PLLC's NPI number?
The NPI number for Peace Connection PLLC is 1306564976. It was assigned to this organization in the NPPES registry on August 18, 2022.
Where is Peace Connection PLLC located?
Peace Connection PLLC is located at 12 Roosevelt Ave Ste 2, Mystic, CT 06355. The listed phone number is (860) 485-7992.
What is Peace Connection PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Peace Connection PLLC enrolled in Medicare?
Yes. Peace Connection PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peace Connection PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Peace Connection PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4) and Marriage and Family Therapist (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Peace Connection PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Peace Connection PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peace Connection PLLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peace Connection Pllc · NPI 1306564976
Clinical organization in Mystic, Connecticut. Organization record, active in the CMS NPPES registry since August 18, 2022.
## Identity
- **NPI:** 1306564976 (Entity type: Organization)
- **Enumerated:** August 18, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Jeannine Cleaver, OWNER
## Practice location
- **Address:** 12 ROOSEVELT AVE STE 2, Mystic, CT 06355-2832
- **Phone:** (860) 485-7992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Marriage and Family Therapist (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306564976) · Data from the CMS NPPES public registry.