PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
NPI 1821097767
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bartow, FL

NPI Status: Active since July 20, 2005

Contact Information

1239 E MAIN ST
BARTOW, FL
ZIP 33830
Phone: (863) 519-0575
Fax: (863) 582-9251

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC

This page provides the complete NPI Profile along with additional information for Peace River Center For Personal Development Inc, a provider established in Bartow, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1821097767 assigned on July 2005. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated April 2026. Peace River Center For Personal Development Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jo Deck Ba, Cpc (Credentialing Specialist)

NPI
1821097767
Provider Legal Name
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1239 E MAIN ST BARTOW, FL 33830
Location Phone
(863) 519-0575
Location Fax
(863) 582-9251
Mailing Address
PO BOX 1559 BARTOW, FL 33831
Mailing Phone
(863) 519-0575
Mailing Fax
(863) 582-9251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2005
Last Update Date
04-15-2026
Code Navigator

Location Map

Secondary Locations

  • 3750 Emergency Ln Ste 1
    Sebring, FL 33870
    (863) 519-0575
  • 1255 Golfview Ave
    Bartow, FL 33830
    (863) 519-0575
  • 1835 Gilmore Ave
    Lakeland, FL 33805
    (863) 519-0575
  • 715 N Lake Ave
    Lakeland, FL 33801
    (863) 519-0575
  • 1664 Williamsburg Sq
    Lakeland, FL 33803
    (863) 519-0575
  • 1831 N Crystal Lake Dr
    Lakeland, FL 33801
    (863) 519-0575
  • 213 E Orange St
    Wauchula, FL 33873
    (863) 519-0575
  • 1831 Gilmore Ave
    Lakeland, FL 33805
    (863) 519-0575
  • 3241 Lakeland Hills Blvd
    Lakeland, FL 33805
    (863) 519-0575
  • 1825 Gilmore Ave
    Lakeland, FL 33805
    (863) 519-0575
  • 230 S Lake Parker Ave
    Lakeland, FL 33801
    (863) 582-9251
  • 2014 Lakeland Hills Blvd
    Lakeland, FL 33805
    (863) 519-0575
  • 751 Scenic Hwy
    Haines City, FL 33844
    (863) 519-0575
  • 728 E Bella Vista St
    Lakeland, FL 33805
    (863) 519-0575

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2251B00000XAgencies

Case Management

 
3251S00000XAgencies

Community/Behavioral Health

 
4261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
5261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
6261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 
7284300000XHospitals

Special Hospital

 
8320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 
9323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 
10343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JO DECK BA, CPC

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(863) 519-0575

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
060310400MEDICAID (05)FL 
060310401MEDICAID (05)FL 
060310410MEDICAID (05)FL 
060310424MEDICAID (05)FL 
060310405MEDICAID (05)FL 
060310412MEDICAID (05)FL 
060310414MEDICAID (05)FL 
060310417MEDICAID (05)FL 
060310411MEDICAID (05)FL 
060310419MEDICAID (05)FL 
060310425MEDICAID (05)FL 
060310434MEDICAID (05)FL 
060310435MEDICAID (05)FL 
060310439MEDICAID (05)FL 
060310404MEDICAID (05)FL 
060310421MEDICAID (05)FL 
060310422MEDICAID (05)FL 
060310438MEDICAID (05)FL 
060310429MEDICAID (05)FL 
103255300MEDICAID (05)FL 
060310406MEDICAID (05)FL 
060310413MEDICAID (05)FL 
060310426MEDICAID (05)FL 
060310432MEDICAID (05)FL 
060310415MEDICAID (05)FL 
060310409MEDICAID (05)FL 
060310423MEDICAID (05)FL 
060310437MEDICAID (05)FL 
103255700MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821097767, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 9 + 1 + 4 + 7 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1821097767.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Counselor (Mental Health)
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Counselor (Mental Health)
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Community Health Worker
1239 E MAIN ST
BARTOW, FL 33830
Social Worker
1239 E MAIN ST
BARTOW, FL 33830
Counselor (Mental Health)
1239 E MAIN ST
BARTOW, FL 33830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821097767, enumerated as an "organization" on July 20, 2005.

The provider is located at 1239 E MAIN ST BARTOW, FL 33830 and the phone number is (863) 519-0575.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.