Summit Grove Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006299 Issued in PA

Legal business name

SUMMIT GROVE THERAPY

Practice address

26 Summit Grove Ave Ste 211
Bryn Mawr, PA 19010-3230

Phone

(484) 442-0478

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Sara Ralph

Title

Owner, Therapist

Phone

(717) 222-0361

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1083100879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE STE 211",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE STE 211",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "484-442-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT GROVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "RALPH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "717-222-0361"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006299",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sullivan, LPC, MED, MS
• Nancy Sullivan, NBC-HWC
• Sean Sullivan
• Richard Fredric Summers, MD
• Summit Grove Counseling, LLC
• Megan Supp, ATC, CMT
• Aita Kai Susi, MD
• Frances Coolidge Sutherland, PH.D.
• Noah Kiyotaka Suzuki, LPC
• Cheryl Swartley, RN

• Professional Counselor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.