NPIMap

Organization Active NPI

Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Woodland Park, CO
National Provider Identifier
1669268975
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEAK POTENTIAL BEHAVIOR & WELLNESS LLC
Practice address
400 W US Highway 24 Ste 100C
Woodland Park, CO 80863-4004
Phone
(940) 368-7105
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PEAK POTENTIAL BEHAVIOR & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Stacey WilsonNPI 1548670433
Title
Owner
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 1

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

Addresses

Primary practice location

400 W US Highway 24 Ste 100C
Woodland Park, CO 80863-4004

Mailing address

5350 N Academy Blvd Ste 101
Colorado Springs, CO 80918-4055

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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1669268975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 N ACADEMY BLVD STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W US HIGHWAY 24 STE 100C",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808634004",
            "telephone_number": "940-368-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL BEHAVIOR & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK POTENTIAL BEHAVIOR & WELLNESS LLC",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-368-7105"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.