Peace River Center – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1821097767
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Peace River Center
1255 Golfview Ave
Bartow, FL 338306736
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
3750 Emergency Ln Ste 1
Sebring, FL 338705500
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
2014 Lakeland Hills Blvd
Lakeland, FL 338052904
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
728 E Bella Vista St
Lakeland, FL 338053088
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
1831 Gilmore Ave
Lakeland, FL 338053017
Phone: (863) 519-0575
Type: Location
PO BOX 1559
BARTOW, FL 338311559
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Mailing
1239, Main Street, Bartow, Polk County, Florida, 33830, United States
BARTOW, FL 338305058
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
1831 N Crystal Lake Dr
Lakeland, FL 338015902
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
1664 Williamsburg Sq
Lakeland, FL 338034278
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
230 S Lake Parker Ave
Lakeland, FL 338015742
Phone: (863) 582-9251
Fax: (863) 582-9251
Type: Location
815 State Road 60 E
Lake Wales, FL 338534241
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
213 E Orange St
Wauchula, FL 338732934
Phone: (863) 519-0575
Type: Location
3241 Lakeland Hills Blvd
Lakeland, FL 338052266
Phone: (863) 519-0575
Type: Location
1825 Gilmore Ave
Lakeland, FL 338053017
Phone: (863) 519-0575
Type: Location
715 N Lake Ave
Lakeland, FL 338011908
Phone: (863) 519-0575
Type: Location
1835 Gilmore Ave
Lakeland, FL 338053017
Phone: (863) 519-0575
Type: Location
950 County Road 17A W
Avon Park, FL 338252164
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
751 Scenic Hwy
Haines City, FL 338447500
Phone: (863) 519-0575
Fax: (863) 582-9251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040319000056 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33830)
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