Organization Active NPI

Pinnacle Peak Institute II LLC

  • Adult Mental Health Clinic/Center
  • Dupont, WA
National Provider Identifier
1003450065
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PINNACLE PEAK INSTITUTE II LLC
Doing business as
Pinnacle Peak Institute II
Practice address
1997 Jensen Ave
Dupont, WA 98327-8745
Phone
(360) 704-0086
NPI assigned
Nov 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Thompson, MA, LMHC, CDP
Title
Administrator
Phone
(360) 704-0086

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1997 Jensen Ave
Dupont, WA 98327-8745

Mailing address

1997 Jensen Ave
Dupont, WA 98327-8745
Phone (360) 704-0086

Other names 1

  • Pinnacle Peak Institute II Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1003450065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 JENSEN AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278745",
            "telephone_number": "360-704-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 JENSEN AVE",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278745",
            "telephone_number": "360-704-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEAK INSTITUTE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-704-0086",
        "authorized_official_credential": "MA, LMHC, CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Peak Institute II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.