Organization Active NPI

Alliance Summit Group LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1134875016
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ALLIANCE SUMMIT GROUP LLC
Practice address
21 E State St Ste 200
Columbus, OH 43215-0109
Phone
(614) 218-2663
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Syrjulian JonesNPI 1396492666
Title
Owner
Phone
(614) 649-5120

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)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

21 E State St Ste 200
Columbus, OH 43215-0109

Mailing address

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (614) 218-2663

Other identifiers 1

IdentifierTypeStateIssuer
7611179MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@alliancesummitgroup.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1134875016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "614-218-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "614-218-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SUMMIT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SYRJULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-649-5120"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7611179",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@alliancesummitgroup.com",
            "affiliation": "N",
            "address_1": "21 E State St Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432150109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.