Organization Active NPI

Summit Counseling Services, LLC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1063807857
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011718 Issued in MI
Legal business name
SUMMIT COUNSELING SERVICES, LLC
Practice address
2010 Hogback Rd
Unit 7C
Ann Arbor, MI 48105
Phone
(734) 531-9661
Fax
(888) 855-1080
NPI assigned
Mar 30, 2015
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Ms. Theresa M Bolster, LICENSED PROFESSIONANPI 1932618139
Title
Owner
Phone
(734) 531-9961

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 Counselor 101YP2500X 6401011718 MI Primary

Addresses

Primary practice location

2010 Hogback Rd
Unit 7C
Ann Arbor, MI 48105

Mailing address

P.O. Box 3032
Ann Arbor, MI 48106
Phone (734) 531-9961

National Provider Directory

National Provider Directory

Locations

2010 Hogback Rd
Ste 7C
Ann Arbor, MI 48105
Phone (734) 531-9661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1063807857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3032",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48106",
            "telephone_number": "734-531-9961",
            "fax_number": "888-855-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HOGBACK RD",
            "address_2": "UNIT 7C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-531-9661",
            "fax_number": "888-855-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BOLSTER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-531-9961",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED PROFESSIONA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.