Provider Demographics
NPI:1265027585
Name:PEAK PERFORMANCE COUNSELING CENTER
Entity Type:Organization
Organization Name:PEAK PERFORMANCE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:NAFZIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LCSW-PIP
Authorized Official - Phone:605-271-0603
Mailing Address - Street 1:707 E 41ST ST STE 136
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6049
Mailing Address - Country:US
Mailing Address - Phone:605-271-0603
Mailing Address - Fax:605-271-4720
Practice Address - Street 1:707 E 41ST ST STE 136
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6049
Practice Address - Country:US
Practice Address - Phone:605-271-0603
Practice Address - Fax:605-271-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1265027585Medicaid