Peak Pathways PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PEAK PATHWAYS PC

Practice address

3523 45TH St S
Fargo, ND 58104-8962

Phone

(701) 941-0175

Fax

(701) 941-3001

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Vicki Susan Burgess, LPCC

Title

Primary

Phone

(701) 941-0175

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1144094459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 24TH AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PATHWAYS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRIMARY",
        "authorized_official_telephone_number": "701-941-0175",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "113561521545",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Josephine Paxton
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• Stacy Pearson, MD
• Dalton James Peaslee, M.D.
• Jessie Pecka, NP
• Sarah Olivia Liljegren Pedersen

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.