Summit Path Mental Health Limited Liability Company

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUMMIT PATH MENTAL HEALTH LIMITED LIABILITY COMPANY

Practice address

15 8TH St N
St Petersburg, FL 33701-3614

Phone

(727) 371-6468

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Jamie Hoagland, LCSWNPI 1538750542

Title

Owner

Phone

(727) 371-6468

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Hoagland, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1538750542
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1083455323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 TAYLOR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143250",
            "telephone_number": "727-371-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013614",
            "telephone_number": "727-371-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PATH MENTAL HEALTH LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-371-6468",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janice Alexandra Summers, MD
• Summit Living LLC
• Alexandra Christine Summitt, D.N.P.
• Nancy Virginia Summitt, CRNA
• Richard Ellis Sumner, M.D.
• Sun and Sea Medical PLLC
• Sun City Fitness, LLC (Core Strength Physical Therapy)

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.