PEAK BEHAVIORAL HEALTH LLC NPI 1053879023

NPI Information

NPI: 1053879023
Provider Name: PEAK BEHAVIORAL HEALTH, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address: 2864 MIDDLE ST STE 100
LITTLE CANADA, MN
ZIP 55117
Phone: (651) 493-2055

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NPI Details

PEAK BEHAVIORAL HEALTH, LLC is a marriage family therapist in Little Canada, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. PEAK BEHAVIORAL HEALTH, LLC NPI is 1053879023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2864 MIDDLE ST STE 100
LITTLE CANADA, MN
ZIP 55117-411
Phone: (651) 493-2055
Fax: (651) 340-8632

The provider's authorized official is Porsche Peak .
The authorized official title is Director, Clinical Therapist and has the following contact phone number (651) 493-2055.

The enumeration date for this NPI number is 3/7/2019 and was last updated on 3/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
4	103TP2701X	Psychologist	Group Psychotherapy	No
5	104100000X	Social Worker		No
6	1041C0700X	Social Worker	Clinical	No
7	106H00000X	Marriage & Family Therapist		Yes
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
9	261QM0850X	Clinic/Center	Adult Mental Health	No
10	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
11	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
12	172V00000X	Community Health Worker		No
13	251S00000X	Community/Behavioral Health		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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