Summit Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUMMIT COUNSELING LLC

Practice address

2717 N Grandview Blvd Ste 112
Waukesha, WI 53188-1660

Phone

(262) 933-1071

Fax

(888) 867-0673

NPI assigned

Aug 11, 2021

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephan Allen Gunn, MS, LPC,NCCNPI 1841964715

Title

Owner/Psychotherapist

Phone

(262) 793-0991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Summit Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Counseling LLC

  • Counselor
  • Dodgeville, WI
  • NPI 1184599227
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephan Allen Gunn, MS, LLC, NCC

  • Mental Health Counselor
  • Waukesha, WI
  • NPI 1841964715
  Medicare reassignment Care Compare group NPD Authorized official
• Vanessa Schumann, M.S.

  • Mental Health Counselor
  • Waukesha, WI
  • NPI 1306398052
  Medicare reassignment Care Compare group NPD
• Allison Liebl

  • Professional Counselor
  • Brown Deer, WI
  • NPI 1114762580
  Medicare reassignment NPD (past)
• Owen William Hombsch

  • Mental Health Counselor
  • Waukesha, WI
  • NPI 1063250520
  NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1326713330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 112",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-793-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 112",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-933-1071",
            "fax_number": "888-867-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-793-0991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Anne Sullivan
• John M Sullivan, LPC
• Kristine Sullivan, MD
• Mackenzie K Sullivan, RN
• Catherine M Suminski, M.S. OTR
• Summit Medical Specialists, SC
• Summit Square Dental LLC
• Sunset Dental Care SC
• Sunset Dental Care, S.C.
• Sunst Dental Care SC

• Community/Behavioral Health Agency in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.