Peak Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151 Issued in ID

Legal business name

PEAK RECOVERY LLC

Practice address

2423 S Georgia Ave
Caldwell, ID 83605-4477

Phone

(208) 455-1788

Fax

(208) 455-2044

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Michonne Lee Piekmsa, MS, , LPC ACADC

Title

Owner

Phone

(208) 455-1788

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michonne Pieksma

  • Addiction (Substance Use Disorder) Counselor
  • Caldwell, ID
  • NPI 1407283393
  NPD

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1811338148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S GEORGIA AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054477",
            "telephone_number": "208-455-1788",
            "fax_number": "208-455-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 S GEORGIA AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054477",
            "telephone_number": "208-455-1788",
            "fax_number": "208-455-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "PIEKMSA",
        "authorized_official_first_name": "MICHONNE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-455-1788",
        "authorized_official_credential": "MS, , LPC ACADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "151",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ID",
            "license": "LPC-5173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.