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PEACEFUL FOUNDATIONS WELLNESS CENTER LLC
NPI 1720972219
Social Worker - Clinical in North Charleston, SC

Active since June 07, 2025
3255 LANDMARK DR, NORTH CHARLESTON, SC 29418(843) 466-4420(843) 989-0427 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Jun 7, 2025 (2 updates tracked since 2025).

About Peaceful Foundations Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL FOUNDATIONS WELLNESS CENTER LLC (NPI 1720972219) is a healthcare organization registered as a clinical in North Charleston, South Carolina and active in the NPI registry since June 2025. The organization maintains a secondary practice location in North Charleston and lists Tasha M Frederick, Owner, as its authorized official.

NPPES Registry Identity

NPI1720972219
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePEACEFUL FOUNDATIONS WELLNESS CENTER LLC
Location Address3255 LANDMARK DRNorth Charleston, SC 29418-8461
Mailing Address8211 Pleasant Ridge DrNorth Charleston, SC 29420-8326 · (803) 543-3660 · Fax (843) 989-0427
Phone(843) 466-4420
Fax(843) 989-0427
Organization SubpartNo
Authorized OfficialTasha M FrederickOwner · (803) 543-3660
Enumeration DateJune 7, 2025
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1720972219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3255 LANDMARK DR, North Charleston, SC 29418
Open in Google Maps ↗

Secondary Practice Location 1

Location 18211 Pleasant Ridge DrNorth Charleston, SC 29420-8326 · Phone (843) 466-4420 · Fax (843) 989-0427

Other Identifiers 1

MedicaidSW1054SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Peaceful Foundations Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peaceful Foundations Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tasha Frederick, LISW-CP
Clinical Social Worker
NPI 1215132733
3255 LANDMARK DR BLDG 200
North Charleston, SC 29418
(843) 534-1527
✔ PECOS✔ Accepts MedicareSame address

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 Peaceful Foundations Wellness Center LLC's NPI number?

The NPI number for Peaceful Foundations Wellness Center LLC is 1720972219. It was assigned to this organization in the NPPES registry on June 7, 2025.

Where is Peaceful Foundations Wellness Center LLC located?

Peaceful Foundations Wellness Center LLC is located at 3255 Landmark Dr, North Charleston, SC 29418. The listed phone number is (843) 466-4420.

What is Peaceful Foundations Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Peaceful Foundations Wellness Center LLC enrolled in Medicare?

Yes. Peaceful Foundations Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peaceful Foundations Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Peaceful Foundations Wellness Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peaceful Foundations Wellness Center LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Peaceful Foundations Wellness Center LLC 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 Peaceful Foundations Wellness Center LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.