PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
NPI 1821097767
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bartow, FL
About Peace River Center For Personal Development Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC (NPI 1821097767), doing business as Peace River Center, is a healthcare organization registered as a mental health (including community mental health center) in Bartow, Florida and active in the NPI registry since July 2005. The organization maintains 14 additional practice locations and lists Jo Deck, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Secondary Practice Locations 14
Other Identifiers 29
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 River Center For Personal Development Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Peace River Center For Personal Development Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 53Source: 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 River Center For Personal Development Inc's NPI number?
The NPI number for Peace River Center For Personal Development Inc is 1821097767. It was assigned to this organization in the NPPES registry on July 20, 2005. The provider is doing business as Peace River Center.
Where is Peace River Center For Personal Development Inc located?
Peace River Center For Personal Development Inc is located at 1239 E Main St, Bartow, FL 33830. The listed phone number is (863) 519-0575.
What is Peace River Center For Personal Development Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Peace River Center For Personal Development Inc enrolled in Medicare?
Yes. Peace River Center For Personal Development Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peace River Center For Personal Development Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 6 Medicare specialties reassign their Medicare billing to Peace River Center For Personal Development Inc. 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 Mental Health Counselor (24), Nurse Practitioner (14) and Clinical Social Worker (8). Of these, 3 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Peace River Center For Personal Development Inc accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Peace River Center For Personal Development Inc 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 River Center For Personal Development Inc was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 River Center For Personal Development Inc · NPI 1821097767
Mental Health (Including Community Mental Health Center) organization in Bartow, Florida. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1821097767 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Peace River Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jo Deck, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1239 E MAIN ST, Bartow, FL 33830-5058
- **Phone:** (863) 519-0575 · **Fax:** (863) 582-9251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (24), Nurse Practitioner (14), Clinical Social Worker (8); 3 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1821097767/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2026
- **Other identifiers:** Medicaid 060310400 (FL); Medicaid 060310401 (FL); Medicaid 060310410 (FL); and 26 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821097767) · Data from the CMS NPPES public registry.