Summitview Behavioral Health PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20280 Issued in TX

Legal business name

SUMMITVIEW BEHAVIORAL HEALTH PLLC

Practice address

74 Tudela St
Brownsville, TX 78526-1870

Phone

(956) 639-6309

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan B Killpack, LPCNPI 1194760363

Title

PLLC Member/Manager

Phone

(956) 639-6309

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jordan B Killpack, MC, LPC, CMHC

  • Mental Health Counselor
  • Syracuse, UT
  • NPI 1194760363
  Authorized official Same address or phone

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1538475595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 TUDELA ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261870",
            "telephone_number": "956-639-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 TUDELA ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261870",
            "telephone_number": "956-639-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMITVIEW BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KILLPACK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PLLC MEMBER/MANAGER",
        "authorized_official_telephone_number": "956-639-6309",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62062",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.