Porsche Peak, LMFT, LADC is a
Marriage & Family Therapist based in Little Canada, Minnesota. Porsche Peak is licensed to practice in Minnesota (license number 3415) and her current practice location is
2864 Middle St Ste 100, Little Canada, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 493-2055.
NPI number for Porsche Peak is 1669927273 and her current mailing address is 2864 Middle St Ste 100, Little Canada, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669927273.
Healthcare Provider's Profile
Full Name | Porsche Peak |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2864 Middle St Ste 100, Little Canada, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669927273
- Provider Enumeration Date: 08/24/2016
- Last Update Date: 03/25/2019
Medical Identifiers
Medical identifiers for Porsche Peak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669927273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304885 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 3415 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Porsche Peak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Porsche Peak, LMFT, LADC 2864 Middle St Ste 100, Little Canada, MN 55117-1411 Ph: (651) 493-2055 | Porsche Peak, LMFT, LADC 2864 Middle St Ste 100, Little Canada, MN 55117-1411 Ph: (651) 493-2055 |
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