Organization Active NPI

Peak Communication Therapy

  • Hearing and Speech Clinic/Center
  • Salem, OR
National Provider Identifier
1366217465
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
PEAK COMMUNICATION THERAPY
Practice address
2355 State St Ste 101
Salem, OR 97301-4541
Phone
(541) 203-0893
NPI assigned
Nov 17, 2023
Organization subpart
Yes
Parent organization
MINDFUL CONSCIOUS SPIRITS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Tiffany (Ty) Lockhart, M.A., CCC-SLPNPI 1699920421
Title
Owner/SLP
Phone
(541) 203-0893

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)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

2355 State St Ste 101
Salem, OR 97301-4541

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541
Phone (541) 203-0893

National Provider Directory

National Provider Directory
Part of
Peak Communication Therapy

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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1366217465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "541-203-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "541-203-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK COMMUNICATION THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL CONSCIOUS SPIRITS, LLC",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "TIFFANY (TY)",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "541-203-0893",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.