Natalie Summit, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1671 Issued in AZ

Practice address

2325 W Guadalupe Rd Ste 107
Gilbert, AZ 85233-2811

Phone

(480) 666-0960

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The River Source Treatment Center Casa Grande, LLC

  • Substance Abuse Rehabilitation Facility
  • Arizona City, AZ
  • NPI 1003053570
  NPD (past)
• The River Source Treatment Center Casa Grande, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Gilbert, AZ
  • NPI 1851004220
  NPD (past)

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1548826258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4293",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851232669",
            "telephone_number": "480-298-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W GUADALUPE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332811",
            "telephone_number": "480-666-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMIT",
        "first_name": "NATALIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-1671",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalie.summit@theriversource.org",
            "affiliation": "Y",
            "endpointDescription": "direct email",
            "affiliationName": "The River Source Treatment Center Casa Grande, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2325 W Guadalupe Rd Ste 107",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852332811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clyde Summers Jr., PT, DPT
• Danielle Elizabeth Summers, MD
• Summit Physical Therapy Az LLC
• Summit PM&R Consulting Inc.
• Summit Rheumatology
• Kirsten Sumner, M.D.
• Sun Valley Affiliated Back Center Inc
• Sun Valley Chiropractic and Wellness
• Sun Valley Foot and Ankle PLLC
• Sun Valley Services LLC

• Professional Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.