Summit Mental Wellness and Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0900372 Issued in KY

Legal business name

SUMMIT MENTAL WELLNESS AND COUNSELING

Practice address

4630 Village Square Dr
Suite 202
Paducah, KY 42001-7502

Phone

(270) 777-4490

Fax

(866) 824-4022

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Kimberly Gail Wenz-Sherrill, LCSWNPI 1780747774

Title

Owner

Phone

(270) 748-5638

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Kimberly G Wenzsherrill, LCSW

  • Clinical Social Worker
  • Paducah, KY
  • NPI 1780747774
  NPD (past) Authorized official
• Sara Siner Darling, LMFT

  • Marriage & Family Therapist
  • Paducah, KY
  • NPI 1629082912
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1013315837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W JEFFERSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014259",
            "telephone_number": "270-748-5638",
            "fax_number": "866-824-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 VILLAGE SQUARE DR",
            "address_2": "SUITE 202",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017502",
            "telephone_number": "270-777-4490",
            "fax_number": "866-824-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MENTAL WELLNESS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "WENZ-SHERRILL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-748-5638",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "0900372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100277890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zackary Dain Sullivan
• Nancy Sulver
• Taylor Wrinkle Summarell, APRN
• Lisa Ann Summers
• Tracy Dawn Summes, PTA
• Stephanie Renee Sunberg
• Sunrise Children'S Services, Inc.
• Superior Care Home, Inc
• Surgical Group of Paducah P.S.C.
• Surgical Group PSC

• Community/Behavioral Health Agency in Paducah, KY
• Providers in Paducah, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.