Organization Active NPI

Summit Counseling

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1346513884
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991890 Issued in CO
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Marian Delia Avoy, LCSWNPI 1104816693
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104816693OtherCOLCSW

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.