NPIMap

Organization Active NPI

Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1427627819
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEAK POTENTIAL BEHAVIOR & WELLNESS LLC
Practice address
685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326
Phone
(940) 613-2618
NPI assigned
Jun 21, 2021
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OTHERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Stacey WilsonNPI 1548670433
Title
Owner/ Clinical Director
Phone
(940) 368-7105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326

Mailing address

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326
Phone (940) 613-2618

Other practice location 1

622 Broadway St
Sterling, CO 80751-2651
Phone (940) 613-2618

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

685 Citadel Dr E
Ste 345
Colorado Springs, CO 80909
Phone (940) 363-7105

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1427627819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-613-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-613-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807512651",
            "country_code": "US",
            "telephone_number": "940-613-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK POTENTIAL BEHAVIOR & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTHER",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "940-368-7105"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 13, 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.