NPIMap

Organization Active NPI

Summit Counseling Services LLC

  • Professional Counselor
  • Johnson City, TN
National Provider Identifier
1003329517
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3948 Issued in TN
Legal business name
SUMMIT COUNSELING SERVICES LLC
Practice address
4132 Bristol Hwy Ste 5
Johnson City, TN 37601-3162
Phone
(423) 946-1659
Fax
(423) 283-4958
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin Taylor, LPCNPI 1528366697
Title
Owner
Phone
(423) 946-1659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3948 TN Primary

Addresses

Primary practice location

4132 Bristol Hwy Ste 5
Johnson City, TN 37601-3162

Mailing address

161 1/2 Young Rd
Johnson City, TN 37604-3301
Phone (423) 946-1659

National Provider Directory

National Provider Directory

Locations

217 E Market St
Ste 100
Johnson City, TN 37601
Phone (423) 207-3336

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1003329517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 1/2 YOUNG RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043301",
            "telephone_number": "423-946-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 BRISTOL HWY STE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013162",
            "telephone_number": "423-946-1659",
            "fax_number": "423-283-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-946-1659",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.