Individual provider Active NPI

Amandamae Marguerite Summers, CMHC

  • Mental Health Counselor
  • Tooele, UT
National Provider Identifier
1285113365
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1102 W 60 S Ste 6
Tooele, UT 84074-2881
Phone
(435) 775-0009
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1102 W 60 S Ste 6
Tooele, UT 84074-2881

Mailing address

1601 Colavito Way
Tooele, UT 84074-8979
Phone (435) 775-0009

Other names 1

  • Amandamae M Summers-Peterson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 28, 2026 through May 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Venture Therapy PLLC Mental Health CurrentSince Dec 22, 2024 Accepting new patients

Locations

1102 W 60 S
Ste 6
Tooele, UT 84074
Phone (435) 775-0009

1244 N Main St
Ste 202
Tooele, UT 84074
Phone (435) 850-7378

Organizations & group practices 1

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1285113365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 COLAVITO WAY",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748979",
            "telephone_number": "435-775-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 60 S STE 6",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742881",
            "telephone_number": "435-775-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "AMANDAMAE",
        "middle_name": "MARGUERITE",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDAMAE",
            "last_name": "SUMMERS-PETERSON",
            "middle_name": "M",
            "credential": "CMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.