Tiffany Lacret Peake

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800X Issued in IL

Practice address

2930 S. Michigan Avenue
100
Chicago, IL 60616

Phone

(773) 819-5504

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1871225854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 S VERNON AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193774",
            "telephone_number": "312-206-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S. MICHIGAN AVENUE",
            "address_2": "100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "773-819-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "TIFFANY",
        "middle_name": "LACRET",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://help-llc.org",
            "affiliation": "Y",
            "affiliationName": "Healing Empowering & Learning Professionals LLC",
            "address_1": "2930 S. Michigan Avenue",
            "address_2": "100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peak Counseling LLC
• Peak Performance Health Center LTD
• Peak Performance Health Center LTD
• Peak Performance Lab LLC
• Derek Peake, DPT
• Jaysa Pearce, LSW
• William Pearce, MD
• Pearl Dental LLC
• Pearl Dental, LLC
• Pearl Medical Center S.C.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.