Summit Life Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUMMIT LIFE COUNSELING, PLLC

Practice address

402 Main St # 1198
Panhandle, TX 79068-3052

Phone

(817) 219-5304

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Douglas E Richardson, LPCNPI 1588173371

Title

Manager

Phone

(817) 219-5304

Specialties & licenses 1

Addresses

Practitioners 1

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

• Douglas Richardson, LPC

  • Mental Health Counselor
  • Panhandle, TX
  • NPI 1588173371

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1013754423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST # 1198",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790683052",
            "telephone_number": "817-219-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST # 1198",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790683052",
            "telephone_number": "817-219-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-219-5304",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Reynolds, LPC
• Douglas Richardson, LPC
• Tabitha Sue Seitz, FNP
• St. Ann'S Nursing Home
• Staffing Network Solutions
• Daven Elizabeth Terrell, CPM, LM
• Keli R Thompson
• Casey White

• All providers in Panhandle, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.