NPIMap

Organization Active NPI

Summit Mental Health Services

  • Mental Health Counselor
  • Minneola, FL
National Provider Identifier
1558735993
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13318 Issued in FL
Legal business name
SUMMIT MENTAL HEALTH SERVICES
Practice address
214 E Washington St
Suite a
Minneola, FL 34715-9227
Phone
(352) 638-6639
Fax
(352) 243-0812
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Ashlea E. Johnson, LCSW
Title
Owner
Phone
(352) 638-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH13318 FL Primary

Addresses

Primary practice location

214 E Washington St
Suite a
Minneola, FL 34715-9227

Mailing address

214 E Washington St
Suite a
Minneola, FL 34715-9227
Phone (352) 638-6639

National Provider Directory

National Provider Directory
Tax ID family
Summit Mental Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1558735993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159227",
            "telephone_number": "352-638-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159227",
            "telephone_number": "352-638-6639",
            "fax_number": "352-243-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-638-6639",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.