Active NPI
Peak Therapeutic Inc
- Counseling Psychologist
- Colorado Springs, CO
National Provider Identifier
1053896415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- PEAK THERAPEUTIC INC
- Practice address
- 6760 Corporate Dr Ste 140
Colorado Springs, CO 80919-5910 - Phone
- (951) 837-3722
- Fax
- (719) 631-0720
- NPI assigned
- Oct 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Richard Bogstad
- Title
- Owner
- Phone
- (951) 837-3722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
6760 Corporate Dr Ste 140
Colorado Springs, CO 80919-5910
Mailing address
6760 Corporate Dr Ste 140
Colorado Springs, CO 80919-5910
Phone (951) 837-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000155112 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6760 Corporate Dr
Ste 140
Colorado Springs, CO 80919
Phone (719) 270-0085
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Colorado Springs, CO
- NPI 1124193180
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1497541163
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1326608696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1053896415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 CORPORATE DR STE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195910",
"telephone_number": "951-837-3722",
"fax_number": "719-631-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 CORPORATE DR STE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195910",
"telephone_number": "951-837-3722",
"fax_number": "719-631-0720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK THERAPEUTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "BOGSTAD",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-837-3722"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000155112",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Peak Residential Supports, L.L.C.
- Peak Resilience Counseling, PLLC
- Peak Supportive Services
- Peak Surgery Center LLC
- Peak Surgical Assisting LL
- Peak Therapy, LLC
- Peak to Prairie Primary Care LLC
- Peak View Optometry Ft Carson Clinic PLLC
- Peak View Optometry North, PLLC
- Peak View Optometry Peterson SFB Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.