NPIMap

Organization Active NPI

Summit Mental Health Services

  • Community/Behavioral Health Agency
  • Minneola, FL
National Provider Identifier
1114382850
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW6891 Issued in FL
Legal business name
SUMMIT MENTAL HEALTH SERVICES
Practice address
214 E Washington St
Suite a
Minneola, FL 34715-9227
Phone
(356) 638-6639
Fax
(352) 243-0812
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Ms. Ashlea Johnson, LCSW
Title
Owner
Phone
(352) 638-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW6891 FL Primary

Addresses

Primary practice location

214 E Washington St
Suite a
Minneola, FL 34715-9227

Mailing address

214 E Washington St
Suite a
Minneola, FL 34715-9227
Phone (356) 638-6639

Other identifiers 1

IdentifierTypeStateIssuer
SW6891OtherFLFLORIDA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Summit Mental Health Services3 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.

Locations

214 E Washington St
Apt A
Minneola, FL 34715
Phone (352) 638-6639

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1114382850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159227",
            "telephone_number": "356-638-6639",
            "fax_number": "352-243-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159227",
            "telephone_number": "356-638-6639",
            "fax_number": "352-243-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-638-6639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW6891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW6891",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.