Active NPI
Casey Marie Peak, MS, LPC
- Mental Health Counselor
- Bolivar, MO
National Provider Identifier
1043779440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 239 W College St Apt 5
Bolivar, MO 65613-2489 - Phone
- (417) 777-1088
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MO | Primary |
Addresses
Primary practice location
239 W College St Apt 5
Bolivar, MO 65613-2489
Mailing address
239 W College St Apt 5
Bolivar, MO 65613-2489
Phone (417) 777-1088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Interoperability endpoints
- casey.stinley.p1@direct.jordanvalley.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1043779440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 W COLLEGE ST APT 5",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656132489",
"telephone_number": "417-777-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 W COLLEGE ST APT 5",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656132489",
"telephone_number": "417-777-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAK",
"first_name": "CASEY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.