NPIMap

Organization Active NPI

Summit Behavioral Solutions, LLC

  • Community/Behavioral Health Agency
  • Puyallup, WA
National Provider Identifier
1487114385
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUMMIT BEHAVIORAL SOLUTIONS, LLC
Doing business as
Summit Behavioral Solutions, LLC
Practice address
1102 E Main
Puyallup, WA 98372-3127
Phone
(253) 339-6094
Fax
(253) 251-0716
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Angelina Lease, BCBANPI 1518385459
Title
Owner
Phone
(337) 353-3726

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

1102 E Main
Puyallup, WA 98372-3127

Mailing address

1102 E Main
Puyallup, WA 98372-3127
Phone (253) 339-6094

Other names 1

  • Summit Behavioral Solutions, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

310 N Meridian
Ste 209
Puyallup, WA 98371
Phone (253) 339-6094

1102 E Main
Puyallup, WA 98372
Phone (253) 339-6094

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1487114385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723127",
            "telephone_number": "253-339-6094",
            "fax_number": "253-251-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723127",
            "telephone_number": "253-339-6094",
            "fax_number": "253-251-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LEASE",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-353-3726",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Behavioral Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Behavioral Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.