Individual provider Active NPI

Halasi Summy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conifer, CO
National Provider Identifier
1386525426
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1001165-NP Issued in CO
Practice address
12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone
(720) 722-0122
Fax
(720) 759-3523
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001165-NP CO Primary

Addresses

Primary practice location

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Mailing address

10853 US Highway 285 Ste a
Conifer, CO 80433-7760

Other practice location 1

15740 S Elk Creek Rd
Pine, CO 80470-8903
Phone (970) 536-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002345 CO Practitioner - Nurse Practitioner 4789177437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15740 S Elk Creek Rd
Pine, CO 80470-8903

2120 Milestone Dr
Suite 103
Fort Collins, CO 80525-5756

PO Box
Suite 102
Conifer, CO 80433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1001165-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consulting LLC CurrentSince Nov 1, 2025 Accepting new patients
Momentum Counseling and Consulting LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (719) 789-7041

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1386525426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10853 US HIGHWAY 285 STE A",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-0122",
            "fax_number": "720-759-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15740 S Elk Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Pine",
            "state": "CO",
            "postal_code": "804708903",
            "country_code": "US",
            "telephone_number": "970-536-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMY",
        "first_name": "HALASI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001165-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.