Peak Potential Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PEAK POTENTIAL THERAPY

Practice address

305 E Cherry Ave Ste 205
Flagstaff, AZ 86001-4626

Phone

(928) 769-3131

NPI assigned

Feb 1, 2025

Organization subpart

No

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

Authorized official

Name

Nicole Agan, LCSWNPI 1255199840

Title

Therapist/Owner

Phone

(928) 769-3131

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Yvonne Agan, LCSW

  • Clinical Social Worker
  • Flagstaff, AZ
  • NPI 1255199840
  NPD Authorized official

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1285448241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CHERRY AVE STE 205",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014626",
            "telephone_number": "928-769-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E CHERRY AVE STE 205",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014626",
            "telephone_number": "928-769-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "AGAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "928-769-3131",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Evan Paul, LCSW
• Jeremy Roy Payne, MD,PHD
• Peak Anesthesia, LLC
• Peak Educational Services
• Peak Nutrition, PLLC
• Peak Therapy LLC
• Peaks Counseling LLC
• Lori L Pearlmutter, P.T.
• Jillian Rose Peart, RDN
• Dennis Joseph Peat, M.D.

• Adult Mental Health Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.