Bethany Ann Sumpter

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PRSS-5103 Issued in NV

Practice address

580 W 5TH St
Reno, NV 89503-4419

Phone

(775) 786-4673

NPI assigned

Jul 18, 2019

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alta Vista Mental Health LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1992134472
  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1033762125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034419",
            "telephone_number": "775-786-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034419",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMPTER",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-5103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992134472",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Treatment Center LLC
• Summit View Hospice, LLC
• Summit Women's Care
• Rachel Sumner
• Renee Manette Sumner
• Cassie Ann Sumpter
• Shining Sun, MD
• Sri Vidya Sundara, MD
• Amber Marie Sundland, LCSW
• Kyle Lennon Sundland

• Peer Specialist in Reno, NV
• Providers in Reno, NV by specialty
• Peer Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.