DR. JOHANNAH PEAY
NPI 1780241968
Psychologist in Longmont, CO

Active since May 23, 2019PECOS Enrolled
350 TERRY ST, LONGMONT, CO 80501(720) 727-7628 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, May 23, 2019 (2 updates tracked since 2019).

About Dr. Johannah Peay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHANNAH PEAY (NPI 1780241968) is an individual psychologist in Longmont, Colorado, licensed in Colorado (PSY.0006756) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780241968
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHANNAH PEAY
Location Address350 TERRY STLongmont, CO 80501-5403
Mailing Address350 Terry StLongmont, CO 80501-5403 · (720) 255-3053
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 23, 2019
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1780241968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · PSY.0006756
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
350 TERRY ST, Longmont, CO 80501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Johannah Peay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385137330
PECOS Enrollment IDI20251208000921
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
350 TERRY ST
LONGMONT, CO 80501
Counselor (Mental Health)
350 TERRY ST
LONGMONT, CO 80501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johannah Peay's NPI number?

The NPI number for Johannah Peay is 1780241968. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Johannah Peay located?

Johannah Peay practices at 350 Terry St, Longmont, CO 80501. The listed phone number is (720) 727-7628.

What is Johannah Peay's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Johannah Peay enrolled in Medicare?

Yes. Johannah Peay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johannah Peay was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.