Summit Ranch LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUMMIT RANCH LLC

Practice address

18555 Johnson Dr
Shawnee, KS 66217-8206

Phone

(913) 215-2438

Fax

(913) 424-2440

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Adria Estes

Title

Billing and Credentialing MGR

Phone

(208) 269-0689

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Jordanne Ehrhart, LSCSW

  • Clinical Social Worker
  • Shawnee, KS
  • NPI 1598482564
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1306561147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 JOHNSON DR STE 119",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178206",
            "telephone_number": "913-215-2438",
            "fax_number": "913-424-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 JOHNSON DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178206",
            "telephone_number": "913-215-2438",
            "fax_number": "913-424-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MGR",
        "authorized_official_telephone_number": "208-269-0689"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "18555 Johnson Dr",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662178206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Charles Strutz Jr., DDS
• Alleah Stutsman
• Trina Stutz
• Rabiya Suleman, M.D.
• Phyllis L. Sullivan, DO
• Kimberly Michel Sumner, MSPT
• Sunflower ABA, LLC
• Elizabeth Suter
• Adrianna J Swailes, DPT
• Charles B Swain, D.D.S.

• Mental Health Counselor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.