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PEACEFUL MIND, INC.
NPI 1942520861
Social Worker - Clinical in Providence, RI

Active since June 02, 2010
120 WAYLAND AVE, PROVIDENCE, RI 02906(401) 273-2858(843) 667-6687 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peaceful Mind, Inc. NPPES

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

PEACEFUL MIND, INC. (NPI 1942520861) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since June 2010. The organization lists Cecilia M Dietzler, Owner, as its authorized official.

NPPES Registry Identity

NPI1942520861
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePEACEFUL MIND, INC.
Location Address120 WAYLAND AVEProvidence, RI 02906-4318
Mailing Address120 Wayland AveProvidence, RI 02906-4318 · (401) 273-2858 · Fax (843) 667-6687
Phone(401) 273-2858
Fax(843) 667-6687
Organization SubpartNo
Authorized OfficialCecilia M DietzlerOwner · (401) 273-2858
Enumeration DateJune 2, 2010
✔ NPI 1942520861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW00899
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.
120 WAYLAND AVE, Providence, RI 02906
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mind, Inc. 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 Mind, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Cecilia Dietzler, MSW
Clinical Social Worker
NPI 1801071311
120 WAYLAND AVE SUITE 4B
Providence, RI 02906
(401) 273-2858
✔ 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 Mind, Inc.'s NPI number?

The NPI number for Peaceful Mind, Inc. is 1942520861. It was assigned to this organization in the NPPES registry on June 2, 2010.

Where is Peaceful Mind, Inc. located?

Peaceful Mind, Inc. is located at 120 Wayland Ave, Providence, RI 02906. The listed phone number is (401) 273-2858.

What is Peaceful Mind, Inc.'s specialty?

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

Is Peaceful Mind, Inc. enrolled in Medicare?

Yes. Peaceful Mind, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peaceful Mind, Inc.?

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

When was this NPI record last updated?

The NPPES record for Peaceful Mind, Inc. was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.