Active NPI
Johnnea Kelly Peak
- Family Psychologist
- Omaha, NE
National Provider Identifier
1720879927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Practice address
- 3416 Decatur St
Omaha, NE 68111-4144 - Phone
- (402) 943-7530
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | Primary |
Addresses
Primary practice location
3416 Decatur St
Omaha, NE 68111-4144
Mailing address
4514 Laurel Ave
Omaha, NE 68104-1461
Phone (402) 943-7530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1720879927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 LAUREL AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041461",
"telephone_number": "402-943-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 DECATUR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681114144",
"telephone_number": "402-943-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAK",
"first_name": "JOHNNEA",
"middle_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.