Active NPI
Summit Counseling Services, LLC
- Professional Counselor
- Ann Arbor, MI
National Provider Identifier
1063807857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011718
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Theresa M Bolster, LICENSED PROFESSIONA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Ann Arbor, MI
- NPI 1932618139
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.