Organization Active NPI

Summit Family Counseling, Inc.

  • Mental Health Counselor
  • Rogers, AR
National Provider Identifier
1386166791
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1509096 Issued in AR
Legal business name
SUMMIT FAMILY COUNSELING, INC.
Practice address
7 Halsted Cir
Rogers, AR 72756-3185
Phone
(479) 270-9129
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Mr. Daniel Ray Luttrell, LPC, LMFT
Title
Owner
Phone
(479) 270-9129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P1509096 AR Primary

Addresses

Primary practice location

7 Halsted Cir
Rogers, AR 72756-3185

Mailing address

7 Halsted Cir Ste 104
Rogers, AR 72756-3185
Phone (479) 270-9129

National Provider Directory

National Provider Directory

Locations

2113 S 54th St
Ste 5
Rogers, AR 72758
Phone (479) 903-0070

7 Halsted Cir
Ste 104
Rogers, AR 72756

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1386166791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HALSTED CIR STE 104",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563185",
            "telephone_number": "479-270-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HALSTED CIR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563185",
            "telephone_number": "479-270-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "LUTTRELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-270-9129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1509096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.