Peak Performance Mindset Coy Reyes Licensed Clinical Social Worker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEAK PERFORMANCE MINDSET COY REYES LICENSED CLINICAL SOCIAL WORKER

Practice address

350 N Glendale Ave Ste B #323
Glendale, CA 91206-3323

Phone

(747) 218-3106

NPI assigned

Sep 19, 2024

Last updated

Feb 27, 2025By 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

Coy Reyes, LCSWNPI 1790408797

Title

President

Phone

(747) 218-3106

Specialties & licenses 1

Addresses

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.

• Coy Reyes, MSW, LCSW

  • Clinical Social Worker
  • Glendale, CA
  • NPI 1790408797
  Authorized official Same address or phone

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1922825165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GLENDALE AVE STE B #323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063323",
            "telephone_number": "747-218-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N GLENDALE AVE STE B #323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063323",
            "telephone_number": "747-218-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE MINDSET COY REYES LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "COY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-218-3106",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.