NPIMap

Organization Active NPI

Summit Counseling

  • Marriage & Family Therapist
  • Jackson, MS
National Provider Identifier
1285935932
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SUMMIT COUNSELING
Practice address
431 N State St
Jackson, MS 39201-1108
Phone
(601) 949-1949
Fax
(601) 714-6922
NPI assigned
Nov 11, 2010
Organization subpart
Yes
Parent organization
FIRST BAPTIST CHRUCH JACKSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Ron Mumbower, PH.D.
Title
Director
Phone
(601) 949-1949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

431 N State St
Jackson, MS 39201-1108

Mailing address

431 N State St
Jackson, MS 39201-1108
Phone (601) 949-1949

National Provider Directory

National Provider Directory
Part of
Summit Counseling

Locations

431 N State St
Jackson, MS 39201
Phone (601) 949-1949

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1285935932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011108",
            "telephone_number": "601-949-1949",
            "fax_number": "601-714-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392011108",
            "telephone_number": "601-949-1949",
            "fax_number": "601-714-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST BAPTIST CHRUCH JACKSON",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MUMBOWER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-949-1949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.