Active NPI
Summit Counseling
- Clinical Social Worker
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 991890
- Legal business name
- SUMMIT COUNSELING
- Practice address
- 25 N Wahsatch Ave
Suite 203
Colorado Springs, CO 80903-3490 - Phone
- (719) 310-0247
- Fax
- (719) 684-7703
- NPI assigned
- Feb 14, 2012
- Last updated
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marian Delia Avoy, LCSW
- Title
- Owner
- Phone
- (719) 310-0247
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 991890 | CO | Primary |
Addresses
Primary practice location
25 N Wahsatch Ave
Suite 203
Colorado Springs, CO 80903-3490
Mailing address
25 N Wahsatch Ave
Suite 203
Colorado Springs, CO 80903-3490
Phone (719) 310-0247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104816693 | Other | CO | LCSW |
National Provider Directory
National Provider DirectoryLocations
25 N Wahsatch Ave
Ste 203
Colorado Springs, CO 80903
Phone (719) 310-0247
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- NPI 1104816693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1346513884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WAHSATCH AVE",
"address_2": "SUITE 203",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033490",
"telephone_number": "719-310-0247",
"fax_number": "719-684-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WAHSATCH AVE",
"address_2": "SUITE 203",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033490",
"telephone_number": "719-310-0247",
"fax_number": "719-684-7703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "AVOY",
"authorized_official_first_name": "MARIAN",
"authorized_official_middle_name": "DELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-310-0247",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "991890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "1104816693",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.