Pinnacle Addiction & Mental Health Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PINNACLE ADDICTION & MENTAL HEALTH THERAPY

Doing business as

Pinnacle Addiction Ave. & Mental Health Therapy

Practice address

3507 N University Ave # 375C
Provo, UT 84604-4478

Phone

(801) 842-8062

Fax

(801) 305-6006

NPI assigned

May 1, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Perko, LCSWNPI 1679034516

Title

Owner

Phone

(801) 842-8062

Specialties & licenses 2

Addresses

Other names 1

• Pinnacle Addiction Ave. & Mental Health Therapy Doing business as

Locations

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.

• Stacey Perko, MSW, LCSW, SUDC

  • Mental Health Counselor
  • Provo, UT
  • NPI 1679034516
  NPD (past) Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1790306652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 W EAGLE HILL CIR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840813989",
            "telephone_number": "801-842-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE # 375C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "801-842-8062",
            "fax_number": "801-305-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ADDICTION & MENTAL HEALTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "PERKO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-842-8062",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Addiction Ave. & Mental Health Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Addiction Ave. & Mental Health Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan E Pinckney, DPT
• Pine Valley Health Utah LLC
• Anne Kimball Pinegar
• Steven C Pinegar
• Janae S Pinheiro, AU.D.
• David Dale Pinter
• Colton Pitcher
• Matthew D Pitcher, D.O.
• Noelle L Pitcher
• Shaeleigh Pitcher, RBT

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.