Brent Peak, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-5701 Issued in AZ

Practice address

13460 N 94TH Dr
Suite K3
Peoria, AZ 85381-4835

Phone

(623) 974-3333

NPI assigned

Dec 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dressner Counseling Services Inc

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1669794558
  NPD (past)
• Sonoran Life Solutions, Inc.

  • Professional Counselor
  • Peoria, AZ
  • NPI 1912155367
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1376088492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "SUITE K3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "SUITE K3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-974-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "BRENT",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Pavlovich, PT, DPT
• Kelly L Payne, LPC
• Sarah Ann Payne, D.O.
• Terri L Payne, FNP-C
• Heidi Peacock
• Lisa M. Pecora, SLPA
• Hailey Elise Pedersen
• Pediatric Partners LLC (Aspire Therapy)
• Pediatric Weight Management Clinic
• Ann Therese Peer, MD

• Counselor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.