Summit Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUMMIT THERAPY LLC

Practice address

250 Cushman St Ste 4F
Fairbanks, AK 99701-4665

Phone

(907) 978-1943

Fax

(360) 838-4806

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Carrie L Miniard, LCSW

Title

Social Worker

Phone

(907) 978-1943

Specialties & licenses 1

Addresses

Tax ID family

Summit Therapy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Therapy LLC

  • Clinical Social Worker
  • Lacey, WA
  • NPI 1235911579
  NPD tax ID
• Summit Therapy LLC

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1760367569
  NPD tax ID

Locations

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1063288348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE STE B189",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031150",
            "telephone_number": "907-978-1943",
            "fax_number": "360-838-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CUSHMAN ST STE 4F",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014665",
            "telephone_number": "907-978-1943",
            "fax_number": "360-838-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MINIARD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "907-978-1943",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Summerfelt, DMD
• Alaina Summers, RN
• Clinton Connelley Summers
• Linda C Summers, FNP, CNS
• Summit Chiropractic LLC
• Sunny Denyaavee Center
• Audrey Sunnyboy, TRAD COUNSELOR
• Jackie Sunnyboy
• Sunrise Counseling & Therapy Service LLP
• Surgery Center of Fairbanks LLC

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.