NPIMap

Organization Active NPI

The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
National Provider Identifier
1477761633
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SUMMIT COUNSELING CENTER, INC.
Practice address
2750 Old Alabama Rd
Suite 200
Johns Creek, GA 30022-8593
Phone
(678) 893-5300
Fax
(678) 893-5312
NPI assigned
May 20, 2007
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Mr. David Milton Smith, M.DIV., M.A.NPI 1144438300
Title
Executive Director
Phone
(678) 893-5300

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2750 Old Alabama Rd
Suite 200
Johns Creek, GA 30022-8593

Mailing address

2750 Old Alabama Rd
Suite 200
Johns Creek, GA 30022-8593
Phone (678) 893-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312001772 GA Part B Supplier - Clinic/Group Practice 2567983067 Receives reassigned benefits from 4 practitioners
Practice locations: Alpharetta, GA; Buford, GA; Dunwoody, GA; Johns Creek, GA; Milton, GA

National Provider Directory

National Provider Directory

Locations

3800 Mansell Rd
Ste 100
Alpharetta, GA 30022

4600 Nelson Brogdon Blvd
Buford, GA 30518
Phone (678) 467-6014

1548 Mount Vernon Rd
Dunwoody, GA 30338

11180 Medlock Bridge Rd
Johns Creek, GA 30097

2750 Old Alabama Rd
Ste 200
Johns Creek, GA 30022
Phone (678) 336-3260

13680 Highway 9 N
Ste G500
Milton, GA 30004

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1477761633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228593",
            "telephone_number": "678-893-5300",
            "fax_number": "678-893-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228593",
            "telephone_number": "678-893-5300",
            "fax_number": "678-893-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUMMIT COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-893-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV., M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.