Active NPI
Peak Performance Counseling and Consulting LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grove, OK
National Provider Identifier
1801520812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PEAK PERFORMANCE COUNSELING AND CONSULTING LLC
- Practice address
- 1907 E Highway 10 Ste B
Grove, OK 74344-4127 - Phone
- (620) 515-1080
- NPI assigned
- Jul 14, 2022
- 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
- Raymond L Moran, LPC
- Title
- Owner
- Phone
- (620) 515-1080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1907 E Highway 10 Ste B
Grove, OK 74344-4127
Mailing address
505 E 9TH St
Grove, OK 74344-2934
Phone (620) 515-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1907 E Highway 10
Ste B
Grove, OK 74344
Phone (620) 515-1080
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Grove, OK
- NPI 1194261826
-
- Counselor
- Grove, OK
- NPI 1477936748
-
- Mental Health Counselor
- Miami, OK
- NPI 1821448911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1801520812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E 9TH ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743442934",
"telephone_number": "620-515-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 E HIGHWAY 10 STE B",
"city": "GROVE",
"state": "OK",
"postal_code": "743444127",
"telephone_number": "620-515-1080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PERFORMANCE COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-14",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-515-1080",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.