Active NPI
Peak State Recovery, LLC
- Substance Abuse Rehabilitation Facility
- Paron, AR
National Provider Identifier
1720815129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PEAK STATE RECOVERY, LLC
- Practice address
- 22163-22295 Ar-9
Paron, AR 72122 - Phone
- (501) 209-3764
- Fax
- (561) 849-3070
- NPI assigned
- Sep 18, 2024
- Last updated
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher S Dickie, MS
- Title
- Ceo
- Phone
- (501) 428-6980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
22163-22295 Ar-9
Paron, AR 72122
Mailing address
1055 Huntington Dr
Benton, AR 72019-8922
Phone (501) 428-6980
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1720815129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 HUNTINGTON DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720198922",
"telephone_number": "501-428-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22163-22295 AR-9",
"city": "PARON",
"state": "AR",
"postal_code": "72122",
"telephone_number": "501-209-3764",
"fax_number": "561-849-3070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK STATE RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2025-07-29",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "DICKIE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-428-6980",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paron, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.