Individual provider Active NPI

Michelle Beth Summit, MA

  • Social Worker
  • Reed City, MI
National Provider Identifier
1124468772
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802081732 Issued in MI
Practice address
4473 220TH Ave
Reed City, MI 49677-8593
Phone
(231) 832-2247
Fax
(231) 832-3281
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401003932 MI
Social Worker 104100000X 6802081732 MI Primary

Addresses

Primary practice location

4473 220TH Ave
Reed City, MI 49677-8593

Mailing address

4473 220TH Ave
Reed City, MI 49677-8593
Phone (231) 832-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401003932MIMDCounselor
6802081732MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Counselor PastSince Mar 9, 2006 Accepting new patients
Community Mental Health for Central Michigan Counselor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1124468772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 220TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778593",
            "telephone_number": "231-832-2247",
            "fax_number": "231-832-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 220TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778593",
            "telephone_number": "231-832-2247",
            "fax_number": "231-832-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMIT",
        "first_name": "MICHELLE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401003932",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802081732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.