NPIMap

Organization Active NPI

Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1326615501
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEAK POTENTIAL BEHAVIOR & WELLNESS LLC
Practice address
5350 N Academy Blvd Ste 102
Colorado Springs, CO 80918-4055
Phone
(940) 368-7105
NPI assigned
Jun 7, 2021
Organization subpart
Yes
Parent organization
NOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Stacey Wilson, MED, BCBA
Title
Owner/ Clincal Director
Phone
(940) 368-7105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5350 N Academy Blvd Ste 102
Colorado Springs, CO 80918-4055

Mailing address

5350 N Academy Blvd Ste 102
Colorado Springs, CO 80918-4055
Phone (940) 368-7105

Other names 1

  • Peak Potential Behavioral Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Peak Potential Behavior Wellness LLC6 organizations share this tax ID, including this one
Part of
Peak Potential Behavior Wellness LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5350 N Academy Blvd
Ste 102
Colorado Springs, CO 80918
Phone (719) 731-1003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1326615501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184055",
            "telephone_number": "940-368-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184055",
            "telephone_number": "940-368-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL BEHAVIOR & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/ CLINCAL DIRECTOR",
        "authorized_official_telephone_number": "940-368-7105",
        "authorized_official_credential": "MED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Potential Behavioral Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.