NPI age
1 years
Enumerated 2025-01-22
● Active Type 2 · Organization
Subpart
Carson Legacy Llc
Carson Legacy Llc is 1 of 34 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carson
Owner
Last NPPES update
2025-01-22
Source: monthly bulk 2026-05
How this organization compares
Across 34 active clinic/center providers in Idaho.
NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2423 S Georgia Ave
Caldwell, ID 836054477
Mailing address
2423 S Georgia Ave
Caldwell, ID 836054477
Authorized official
Paige Carson
Owner
📞 2672293694
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michonne Pieksma Counselor NPI 1407283393
- Wendy Weston, LPC Counselor NPI 1861963340
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1861963340 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Peak Recovery
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Carson Legacy Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.