Masata, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

810273 Issued in KY

Legal business name

MASATA, INC.

Doing business as

Summit Counseling Services

Practice address

549 Middleburg St.
Liberty, KY 42539

Phone

(606) 787-1950

Fax

(606) 787-0123

NPI assigned

Oct 21, 2009

Last updated

Oct 21, 2009By 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. C. Nathan McAnelly, MSW, CSW

Title

Clinical Director, Therapist

Phone

(606) 787-1950

Specialties & licenses 1

Addresses

Other names 1

• Summit Counseling Services Doing business as

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1356677694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425391116",
            "telephone_number": "606-787-1950",
            "fax_number": "606-787-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 MIDDLEBURG ST.",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-787-1950",
            "fax_number": "606-787-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASATA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "MCANELLY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "606-787-1950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, CSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "810273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LP Liberty, LLC (Liberty Care & Rehabilitation Center)
• Kimberly Luttrell, AGPCNP
• David Michael Lutz
• Kyle Brent Mann, DMD
• Vickie L Marple, ARNP
• Ronda May
• Tammy McGowan
• Hayley Mae McQueary
• Tiana McQueary
• Medical Point of Care PLLC

• Community/Behavioral Health Agency in Liberty, KY
• Providers in Liberty, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.