PEACE CLUB INC.
NPI 1891206793
Clinic/Center - Rehabilitation, Substance Use Disorder in Cocoa Beach, FL
About Peace Club Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACE CLUB INC. (NPI 1891206793), doing business as Peace Club, is a healthcare organization registered as a rehabilitation, substance use disorder in Cocoa Beach, Florida and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Dennis Kolsch, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2157260
Peace Club · Cocoa Beach, FLFrequently 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 Club Inc.'s NPI number?
The NPI number for Peace Club Inc. is 1891206793. It was assigned to this organization in the NPPES registry on October 18, 2017. The provider is doing business as Peace Club.
Where is Peace Club Inc. located?
Peace Club Inc. is located at 1811 S. Orlando Avenue, Cocoa Beach, FL 32931. The listed phone number is (321) 961-5833.
What is Peace Club Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Peace Club Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2157260) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peace Club Inc. accept?
Health plans from Florida Health Care Plans list Peace Club 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 Club Inc. was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 Club Inc. · NPI 1891206793
Rehabilitation, Substance Use Disorder organization in Cocoa Beach, Florida. Organization record, active in the CMS NPPES registry since October 18, 2017.
## Identity
- **NPI:** 1891206793 (Entity type: Organization)
- **Enumerated:** October 18, 2017
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Peace Club (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dennis Kolsch, OWNER
## Practice location
- **Address:** 1811 S. ORLANDO AVENUE, Cocoa Beach, FL 32931
- **Phone:** (321) 961-5833
## Record status
- **NPPES last updated:** February 26, 2025
- **Other identifiers:** Other MH13258 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891206793) · Data from the CMS NPPES public registry.