Summit Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SUMMIT RECOVERY LLC

Practice address

549 E Front St
Logan, OH 43138-1717

Phone

(740) 279-9998

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Ashley Bookwalter, LICDC-CSNPI 1184162786

Title

Owner/Ceo

Phone

(740) 279-9998

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Ashley Bookwalter, LICDC-CS

  • Addiction (Substance Use Disorder) Counselor
  • Logan, OH
  • NPI 1184162786
  NPD (past) Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1386236263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381515",
            "telephone_number": "740-279-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E FRONT ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381717",
            "telephone_number": "740-279-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BOOKWALTER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "740-279-9998",
        "authorized_official_credential": "LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://crm.bestnotes.com/portal/smry",
            "affiliation": "N",
            "address_1": "549 E Front St",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431381717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laci Marie Stivison, PTA
• Sierra Storms
• Lia Storts, PHARMD, RPH
• Jennifer Sue Strickland, R.N.
• Michaelia C Strohl
• Anshuman Swain, M.D.
• Miranda Swiney, CNP
• Cart Alan Switzer, PHYSICAL THERAPIST P
• Carolyn Sue Taulbee
• Keith Allen Taulbee, D.C.

• Addiction (Substance Use Disorder) Counselor in Logan, OH
• Providers in Logan, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.